South Central Houston Action Council Inc

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

SOUTH CENTRAL HOUSTON ACTION COUNCIL INC

Doing business as

Central Care Integrated Health Services

Practice address

14929 Old Humble Rd
Ste E
Humble, TX 77396-4594

Phone

(281) 822-0900

NPI assigned

Jan 22, 2016

Organization subpart

No

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

Authorized official

Name

Latoya Darden

Title

Ceo

Phone

(713) 734-0199

Specialties & licenses 1

Addresses

Other names 1

• Central Care Integrated Health Services Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Federally qualified health center certification: CCN 741970

Legal name

CENTRAL CARE INTEGRATED HEALTH SERVICES

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Aug 30, 2016

Last certification

Aug 30, 2016

Ownership / control type

For profit – corporation

Facility address

14929 Old Humble Road, Suite E
Humble, TX 77396

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

{
    "created_epoch": "1453420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453420800000",
    "number": "1982061875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8610 MARTIN LUTHER KING BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770332308",
            "telephone_number": "713-734-0199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14929 OLD HUMBLE RD",
            "address_2": "STE E",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773964594",
            "telephone_number": "281-822-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CENTRAL HOUSTON ACTION COUNCIL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-22",
        "last_updated": "2016-01-22",
        "status": "A",
        "authorized_official_last_name": "DARDEN",
        "authorized_official_first_name": "LATOYA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "713-734-0199"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Care Integrated Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jazba Soomro, M.D.
• Alicia Jenette Sorrells, SLP-CCC
• Kelly Sosa, LCSW
• Sound Inpatient Physicians of Texas I, Inc
• Zahra Souri, DMD
• South Limestone Hospital District
• Southeast Texas Cardiac LLC
• Southeast Texas Cardiovascular PA
• Southeast Thoracic and Cardiovascular Surgery, PLLC
• Southern Dental at Deerbrook PLLC

• Federally Qualified Health Center (FQHC) in Humble, TX
• Providers in Humble, TX by specialty
• Federally Qualified Health Center (FQHC) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.