Organization Active NPI

La Mansion Interests Inc

Doing business as La Mancion Developmental Wellness Center

  • Multi-Specialty Clinic/Center
  • Houston, TX
National Provider Identifier
1780992925
Registry record updated Oct 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
LA MANSION INTERESTS INC
Doing business as
La Mancion Developmental Wellness Center
Practice address
2620 Tanglewilde St
Houston, TX 77063-3203
Phone
(713) 860-8383
Fax
(713) 860-8384
NPI assigned
Sep 22, 2010
Last updated
Oct 3, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2011

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

Authorized official

Name
Zahra Lillie Taat
Title
Ceo
Phone
(713) 860-8383

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU Primary

Addresses

Primary practice location

2620 Tanglewilde St
Houston, TX 77063-3203

Mailing address

2620 Tanglewilde St
Houston, TX 77063-3203
Phone (713) 860-8383

Other names 1

  • La Mancion Developmental Wellness Center Doing business as

National Provider Directory

National Provider Directory

Locations

2620 Tanglewilde St
Houston, TX 77063
Phone (713) 860-8383

NPI Registry JSON

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317600000000",
    "number": "1780992925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 TANGLEWILDE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770633203",
            "telephone_number": "713-860-8383",
            "fax_number": "713-860-8384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 TANGLEWILDE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770633203",
            "telephone_number": "713-860-8383",
            "fax_number": "713-860-8384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA MANSION INTERESTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-22",
        "last_updated": "2011-10-03",
        "status": "A",
        "authorized_official_last_name": "TAAT",
        "authorized_official_first_name": "ZAHRA",
        "authorized_official_middle_name": "LILLIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "713-860-8383"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Mancion Developmental Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; 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.