Houston Extraordinary Home Care II

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

126008 Issued in TX

Legal business name

HOUSTON EXTRAORDINARY HOME CARE II

Practice address

9616 Beckley St
Houston, TX 77088-4641

Phone

(713) 298-5727

Fax

(281) 405-9764

NPI assigned

Jul 1, 2009

Last updated

Jul 1, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Nicole Louise Carter, M.A.S

Title

Manager/Owner

Phone

(713) 298-5727

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246406400000",
    "number": "1790913416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9616 BECKLEY ST.",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770884641",
            "telephone_number": "713-298-5727",
            "fax_number": "281-405-9764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9616 BECKLEY ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770884641",
            "telephone_number": "713-298-5727",
            "fax_number": "281-405-9764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSTON EXTRAORDINARY HOME CARE II",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-01",
        "last_updated": "2009-07-01",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "713-298-5727",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.A.S"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "126008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2009; 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.