Individual provider Active NPI

Caroline M Bookman

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Houston, TX
National Provider Identifier
1831392430
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
320900000X Issued in TX
Practice address
9409 Tower St
Houston, TX 77088-4867
Phone
(281) 272-1565
NPI assigned
Jun 9, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 320900000X TX Primary

Addresses

Primary practice location

9409 Tower St
Houston, TX 77088-4867

Mailing address

9409 Tower St
Houston, TX 77088-4867
Phone (281) 272-1565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
320900000XTXMDIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Practice roles

OrganizationSpecialtyStatusNew patients
Alexis's Care Facility Community Based Residential Treatment Facility, Intellectual and/Or Developmental Disabilities Current Accepting new patients
Angel Heights Home Health ,LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1181347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831392430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9409 TOWER ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770884867",
            "telephone_number": "281-272-1565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9409 TOWER ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770884867",
            "telephone_number": "281-272-1565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOKMAN",
        "first_name": "CAROLINE",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "TX",
            "license": "320900000X",
            "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 Jul 8, 2007; 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.