Motherland, Inc.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

License

540680 Issued in TX

Legal business name

MOTHERLAND, INC.

Practice address

4040 Yale St
Houston, TX 77018-5928

Phone

(713) 290-0001

Fax

(713) 290-0023

NPI assigned

May 2, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Victor Ndando-Ngoo

Title

Ceo/Founder

Phone

(713) 290-0001

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1304294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304294400000",
    "number": "1912298407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 YALE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770185928",
            "telephone_number": "713-290-0001",
            "fax_number": "713-290-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 YALE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770185928",
            "telephone_number": "713-290-0001",
            "fax_number": "713-290-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOTHERLAND, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-02",
        "last_updated": "2011-05-02",
        "status": "A",
        "authorized_official_last_name": "NDANDO-NGOO",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "CEO/FOUNDER",
        "authorized_official_telephone_number": "713-290-0001",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "TX",
            "license": "540680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B",
            "identifier": "00Z744",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART A",
            "identifier": "671926",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "199525002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Moth
• Julio Arturo Mothelet-Perez, P.A.C.
• Mother Maria HCS Homes, Inc
• Mother'S Adult Day Care & Health Center, LLC
• Motherland, Inc.
• Mothers Nature
• Brent Mothner, MD
• Mogdeh Motii, D.M.D
• Kathleen Motil, PHD
• Mildren Gisela Motino, DDS

• Federally Qualified Health Center (FQHC) in Houston, TX
• Providers in Houston, TX by specialty
• Federally Qualified Health Center (FQHC) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2011; 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.