Greenway Manor Personal Care Home

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

119109 Issued in TX

Legal business name

GREENWAY MANOR PERSONAL CARE HOME

Doing business as

Assisting Living Facility

Practice address

3625 Hopper Rd
Houston, TX 77093-2719

Phone

(281) 987-3767

Fax

(281) 987-0702

NPI assigned

Mar 5, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Virginia W Baker, PROVIDER

Title

Administrator

Phone

(281) 987-3767

Specialties & licenses 1

Addresses

Other names 1

• Assisting Living Facility Doing business as

Locations

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841329190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11700",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772931700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 HOPPER RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770932719",
            "telephone_number": "281-987-3767",
            "fax_number": "281-987-0702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWAY MANOR PERSONAL CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "281-987-3767",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PROVIDER"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "TX",
            "license": "119109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Assisting Living Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Illness Community Based Residential Treatment Facility in Houston, TX
• Providers in Houston, TX by specialty
• Mental Illness Community Based Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.