Westside Spiritual Fellowship LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

WESTSIDE SPIRITUAL FELLOWSHIP LLC

Practice address

16920 Kuykendahl Rd Ste 220
Houston, TX 77068-1636

Phone

(281) 660-7945

NPI assigned

Oct 8, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Eustrada R Taylor Sr.

Title

Administrator

Phone

(281) 660-7945

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1381190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381190400000",
    "number": "1952738817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6230 W WILLOW BLUFF RD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774498408",
            "telephone_number": "281-660-7945",
            "fax_number": "281-404-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16920 KUYKENDAHL RD STE 220",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770681636",
            "telephone_number": "281-660-7945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE SPIRITUAL FELLOWSHIP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-08",
        "last_updated": "2013-10-08",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "EUSTRADA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "281-660-7945",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Westside Surgical Hospital, LLC

• Adult Day Care Clinic/Center in Houston, TX
• Providers in Houston, TX by specialty
• Adult Day Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2013; 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.