Active NPI
Fresh-N-Clean
- Adult Day Care Clinic/Center
- Houston, TX
National Provider Identifier
1962879528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- FRESH-N-CLEAN
- Practice address
- 4560 Griggs Rd
Houston, TX 77021-2818 - Phone
- (832) 517-5901
- Fax
- (800) 918-6970
- NPI assigned
- Aug 29, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Garry Pickrom
- Title
- Chief Executive Officer
- Phone
- (832) 517-5901
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | Primary | ||
| Point of Service | 305S00000X |
Addresses
Primary practice location
4560 Griggs Rd
Houston, TX 77021-2818
Mailing address
PO Box 9755
Houston, TX 77213-0755
Phone (832) 717-2780
National Provider Directory
National Provider DirectoryLocations
4560 Griggs Rd
Houston, TX 77021
Phone (832) 517-5901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440806400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1617753600000",
"number": "1962879528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9755",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772130755",
"telephone_number": "832-717-2780",
"fax_number": "800-918-6970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4560 GRIGGS RD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770212818",
"telephone_number": "832-517-5901",
"fax_number": "800-918-6970"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRESH-N-CLEAN",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-29",
"last_updated": "2021-04-07",
"certification_date": "2021-03-24",
"status": "A",
"authorized_official_last_name": "PICKROM",
"authorized_official_first_name": "GARRY",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "832-517-5901",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "305S00000X",
"taxonomy_group": "",
"desc": "Point of Service",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Apr 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.