Assistant Living Companions, LLC

Primary specialty

Chore ProviderTaxonomy code 372500000X

Legal business name

ASSISTANT LIVING COMPANIONS, LLC

Practice address

4230 Tree Moss PL
Humble, TX 77346-4560

Phone

(832) 272-9811

NPI assigned

Mar 13, 2019

Organization subpart

No

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

Authorized official

Name

Brande Goddard

Title

Ceo

Phone

(832) 272-9811

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1552435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552435200000",
    "number": "1932668605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4230 TREE MOSS PL",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773464560",
            "telephone_number": "832-272-9811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4230 TREE MOSS PL",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773464560",
            "telephone_number": "832-272-9811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSISTANT LIVING COMPANIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-13",
        "last_updated": "2019-03-13",
        "status": "A",
        "authorized_official_last_name": "GODDARD",
        "authorized_official_first_name": "BRANDE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-272-9811"
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.