NPIMap

Organization Active NPI

Foot Prints in the Sand

  • Assisted Living Facility
  • Houston, TX
National Provider Identifier
1801399613
Registry record updated Mar 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
FOOT PRINTS IN THE SAND
Practice address
12930 Claygate Dr
Houston, TX 77047-2704
Phone
(281) 630-8769
NPI assigned
Mar 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2018

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

Authorized official

Name
Carl Stanley Williams
Title
Program Manager
Phone
(281) 630-8769

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

12930 Claygate Dr
Houston, TX 77047-2704

Mailing address

12930 Claygate Dr
Houston, TX 77047-2704
Phone (281) 630-8769

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1521331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521331200000",
    "number": "1801399613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12930 CLAYGATE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770472704",
            "telephone_number": "281-630-8769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12930 CLAYGATE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770472704",
            "telephone_number": "281-630-8769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT PRINTS IN THE SAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-18",
        "last_updated": "2018-03-18",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "STANLEY",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "281-630-8769"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 18, 2018; 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.