Organization Active NPI

Gluco Star

  • Contractor
  • Houston, TX
National Provider Identifier
1962559187
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
PENDIDNG Issued in TX
Legal business name
GLUCO STAR
Practice address
4703 Knotty Oaks TRL
Houston, TX 77045-4152
Phone
(713) 434-8715
Fax
(713) 434-8715
NPI assigned
Jan 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Felicia Uju Ughanze, BS (SOCIAL WORK)NPI 1639497449
Title
C.E.O
Phone
(713) 434-8715

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ContractorGroup: 193400000X SINGLE SPECIALTY GROUP 171W00000X PENDIDNG TX Primary

Addresses

Primary practice location

4703 Knotty Oaks TRL
Houston, TX 77045-4152

Mailing address

4703 Knotty Oaks TRL
Houston, TX 77045-4152
Phone (713) 434-8715

Other names 1

  • Gluco Star Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Gluco Star2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962559187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4703 KNOTTY OAKS TRL",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770454152",
            "telephone_number": "713-434-8715",
            "fax_number": "713-434-8715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4703 KNOTTY OAKS TRL",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770454152",
            "telephone_number": "713-434-8715",
            "fax_number": "713-434-8715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLUCO STAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "UGHANZE",
        "authorized_official_first_name": "FELICIA",
        "authorized_official_middle_name": "UJU",
        "authorized_official_title_or_position": "C.E.O",
        "authorized_official_telephone_number": "713-434-8715",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BS (SOCIAL WORK)"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor",
            "state": "TX",
            "license": "PENDIDNG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gluco Star",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Aug 22, 2020; 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.