Organization Active NPI

Blessed Community Living Center Inc

  • Intellectual & Developmental Disabilities Psychologist
  • Sugar Land, TX
National Provider Identifier
1760542286
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X
Legal business name
BLESSED COMMUNITY LIVING CENTER INC
Practice address
15714 Crooked Arrow Dr
Sugar Land, TX 77478-7549
Phone
(832) 202-4154
Fax
(281) 265-1690
NPI assigned
Dec 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Ugo Ejiogu Mahyor
Title
Administrator
Phone
(832) 202-4154

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual & Developmental Disabilities PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TM1800X Primary

Addresses

Primary practice location

15714 Crooked Arrow Dr
Sugar Land, TX 77478-7549

Mailing address

15714 Crooked Arrow Dr
Sugar Land, TX 77478-7549
Phone (832) 202-4154

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760542286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15714 CROOKED ARROW DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774787549",
            "telephone_number": "832-202-4154",
            "fax_number": "281-265-1690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15714 CROOKED ARROW DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774787549",
            "telephone_number": "832-202-4154",
            "fax_number": "281-265-1690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLESSED COMMUNITY LIVING CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAHYOR",
        "authorized_official_first_name": "UGO",
        "authorized_official_middle_name": "EJIOGU",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "832-202-4154",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.