Organization Active NPI

Houston County Aging Service

  • Home Delivered Meals
  • Crockett, TX
National Provider Identifier
1902206915
Registry record updated Aug 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Delivered MealsTaxonomy code 332U00000X
Legal business name
HOUSTON COUNTY AGING SERVICE
Practice address
112 E Houston Ave
Crockett, TX 75835-1949
Phone
(936) 544-3255
Fax
(936) 544-9291
NPI assigned
Aug 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2014

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

Authorized official

Name
Ashley Ashley
Title
Director
Phone
(936) 544-3255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Delivered Meals 332U00000X Primary

Addresses

Primary practice location

112 E Houston Ave
Crockett, TX 75835-1949

Mailing address

112 E Houston Ave
Crockett, TX 75835-1949
Phone (936) 544-3255

Other identifiers 1

IdentifierTypeStateIssuer
S5170OtherTXHOME DELIVERED MEALS S5170

Other names 1

  • Houston County, Texas Other name

National Provider Directory

National Provider Directory

Locations

112 E Houston Ave
Crockett, TX 75835
Phone (936) 544-3255

NPI Registry JSON

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

{
    "created_epoch": "1409097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409097600000",
    "number": "1902206915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 E HOUSTON AVE",
            "city": "CROCKETT",
            "state": "TX",
            "postal_code": "758351949",
            "telephone_number": "936-544-3255",
            "fax_number": "936-544-9291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 E HOUSTON AVE",
            "city": "CROCKETT",
            "state": "TX",
            "postal_code": "758351949",
            "telephone_number": "936-544-3255",
            "fax_number": "936-544-9291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSTON COUNTY AGING SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-27",
        "last_updated": "2014-08-27",
        "status": "A",
        "authorized_official_last_name": "ASHLEY",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "936-544-3255"
    },
    "taxonomies": [
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME DELIVERED MEALS S5170",
            "identifier": "S5170",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Houston County, Texas",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Crockett, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; 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.