Organization Active NPI

Fresh Start Day Habilitation LLC

  • Adult Day Care Clinic/Center
  • Houston, TX
National Provider Identifier
1902457054
Registry record updated Sep 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
FRESH START DAY HABILITATION LLC
Practice address
5861 W Gulf Bank Rd
Houston, TX 77088-4120
Phone
(832) 672-7132
NPI assigned
Sep 20, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2019

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

Authorized official

Name
Teah Pearson
Title
Administrator
Phone
(832) 672-7132

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

5861 W Gulf Bank Rd
Houston, TX 77088-4120

Mailing address

5861 W Gulf Bank Rd
Houston, TX 77088-4120

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1568937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568937600000",
    "number": "1902457054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5861 W GULF BANK RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770884120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5861 W GULF BANK RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770884120",
            "telephone_number": "832-672-7132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH START DAY HABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-20",
        "last_updated": "2019-09-20",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "TEAH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "832-672-7132"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "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 Sep 20, 2019; 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.