Active NPI
G J & K Legacy Enterprises, Inc
- Home Health Agency
- Houston, TX
National Provider Identifier
1922425511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 668536
- Legal business name
- G J & K LEGACY ENTERPRISES, INC
- Practice address
- 12302 Carmel Dale LN
Houston, TX 77089-5719 - Phone
- (832) 871-2105
- NPI assigned
- Mar 21, 2014
- Organization subpart
- Yes
- Parent organization
- G J & K LEGACY ENTERPRISES, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Gladys Faye Holmes, RN
- Title
- Alt Administrator, Business Manager
- Phone
- (281) 795-1061
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 668536 | TX | Primary |
Addresses
Primary practice location
12302 Carmel Dale LN
Houston, TX 77089-5719
Mailing address
P.O. Box 57697
Webster, TX 77598
Phone (832) 871-2105
Other names 1
- Customized Therapy Solutions
National Provider Directory
National Provider Directory- Part of
- G J K Legacy Enterprises Inc
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395360000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1568246400000",
"number": "1922425511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 57697",
"city": "WEBSTER",
"state": "TX",
"postal_code": "77598",
"telephone_number": "832-871-2105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12302 CARMEL DALE LN",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770895719",
"telephone_number": "832-871-2105"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "G J & K LEGACY ENTERPRISES, INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "G J & K LEGACY ENTERPRISES, INC",
"enumeration_date": "2014-03-21",
"last_updated": "2019-09-12",
"status": "A",
"authorized_official_last_name": "HOLMES",
"authorized_official_first_name": "GLADYS",
"authorized_official_middle_name": "FAYE",
"authorized_official_title_or_position": "ALT ADMINISTRATOR, BUSINESS MANAGER",
"authorized_official_telephone_number": "281-795-1061",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "668536",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Customized Therapy Solutions",
"code": "3",
"type": "Doing Business As"
}
]
}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 12, 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.