111 Ave B LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

111 AVE B LLC

Doing business as

Texas Care Humble ISD

Practice address

111 S Avenue B
Humble, TX 77338-4510

Phone

(281) 733-7525

NPI assigned

Jun 14, 2024

Last updated

Jul 13, 2024By 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

Robert Panzarella

Title

Ceo

Phone

(281) 733-7525

Specialties & licenses 3

Addresses

Other names 1

• Texas Care Humble ISD Doing business as

Locations

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

{
    "created_epoch": "1718323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720828800000",
    "number": "1831932151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S AVENUE B",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S AVENUE B",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384510",
            "telephone_number": "281-733-7525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "111 AVE B LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-14",
        "last_updated": "2024-07-13",
        "certification_date": "2024-07-13",
        "status": "A",
        "authorized_official_last_name": "PANZARELLA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "281-733-7525"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas Care Humble ISD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Texas Care Humble ISD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Case Management Agency in Humble, TX
• Providers in Humble, TX by specialty
• Case Management Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2024; 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.