Symbol of Care Residential Services Inc

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

SYMBOL OF CARE RESIDENTIAL SERVICES INC

Practice address

5910 Mettler LN
Richmond, TX 77469-2239

Phone

(774) 417-0932

NPI assigned

Aug 19, 2024

Organization subpart

No

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

Authorized official

Name

Stanley Fombuh

Title

Program Administrator

Phone

(774) 417-0932

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1912739772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5910 METTLER LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774692239",
            "telephone_number": "774-417-0932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5910 METTLER LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774692239",
            "telephone_number": "774-417-0932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYMBOL OF CARE RESIDENTIAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A",
        "authorized_official_last_name": "FOMBUH",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_title_or_position": "PROGRAM ADMINISTRATOR",
        "authorized_official_telephone_number": "774-417-0932"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Preferred Provider Organization in Richmond, TX
• Providers in Richmond, TX by specialty
• Preferred Provider Organization in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.