Organization Active NPI

Silverado Senior Living of Texas

  • In Home Supportive Care Agency
  • Houston, TX
National Provider Identifier
1790922367
Registry record updated Jan 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
010262 Issued in TX
Legal business name
SILVERADO SENIOR LIVING OF TEXAS
Practice address
13810 Champion Forest Dr
Suite 147
Houston, TX 77069-1844
Phone
(832) 249-9940
Fax
(832) 249-9933
NPI assigned
Jan 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2009

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

Authorized official

Name
Ms. Sherry W Jerome, MA, CMC
Title
Administrator
Phone
(832) 249-9940

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 010262 TX
Home Health Agency 251E00000X 010262 TX
In Home Supportive Care Agency 253Z00000X 010262 TX Primary

Addresses

Primary practice location

13810 Champion Forest Dr
Suite 147
Houston, TX 77069-1844

Mailing address

13810 Champion Forest Dr
Suite 147
Houston, TX 77069-1844
Phone (832) 249-9940

Other identifiers 1

IdentifierTypeStateIssuer
010262OtherTXSTATE LICENSE

Other names 1

  • Silverado At Home - Houston Doing business as

National Provider Directory

National Provider Directory

Locations

13810 Champion Forest Dr
Ste 147
Houston, TX 77069
Phone (832) 249-9940

NPI Registry JSON

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

{
    "created_epoch": "1232323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232323200000",
    "number": "1790922367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13810 CHAMPION FOREST DR",
            "address_2": "SUITE 147",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770691844",
            "telephone_number": "832-249-9940",
            "fax_number": "832-249-9933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13810 CHAMPION FOREST DR",
            "address_2": "SUITE 147",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770691844",
            "telephone_number": "832-249-9940",
            "fax_number": "832-249-9933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVERADO SENIOR LIVING OF TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-19",
        "last_updated": "2009-01-19",
        "status": "A",
        "authorized_official_last_name": "JEROME",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "832-249-9940",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, CMC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "TX",
            "license": "010262",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "010262",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TX",
            "license": "010262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "010262",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Silverado At Home - Houston",
            "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 Jan 19, 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.