SENIOR CITIZENS BUREAU (NPI# 1295106649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295106649 |
| Entity Type | Organization |
| Organization Name | SENIOR CITIZENS BUREAU |
| Other Organization Name | VAUGHNGAGE HEALTHY AGING CENTER |
| Practice Address |
9406 Fern Wood Frst Houston TX 77040-6892 |
| Practice Telephone | 7132911567 |
| Mailing Telephone | 7132911567 |
| Enumeration Date | 2015-10-12 |
| Last Update Date | 2016-04-13 |
| Authorized Official Name | ASHEVA PHILLIPS (CEO) |
| Authorized Official Telephone | 8324789333 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311Z00000X | Custodial Care Facility | 143030 | TX | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | DADS LICENSE | 143030 | 01 |
| Other Name | Type Code |
|---|---|
| VaughnGage Healthy Aging Center | Doing Business As Name - Organization |
| Street Address |
9406 FERN WOOD FRST |
| City | HOUSTON |
| State | TX |
| Zip Code | 77040-6892 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154880490 | Institute On Healthy Aging | Clinic/Center | 9406 Fern Wood Frst, Houston, TX 77040-6892 | 2019-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265998595 | Stephanie Lynn Villarreal | Nurse Practitioner | 17347 Village Green Drive, Houston, TX 77040 | 2019-02-12 |
| 1285116855 | Darlene Lestrick | Non-emergency Medical Transport (VAN) | 6518 Hampden Point Ct, Houston, TX 77040 | 2018-08-30 |
| 1659859916 | Jill Nicole Hurst | Dietitian, Registered | 6969 Hollister St., Apt 909, Houston, TX 77040 | 2018-07-30 |
| 1871083444 | Occuaptional Health Centers of The Southwest, P.a. | Clinic/Center | 17410 N.w. Freeway, Houston, TX 77040 | 2018-05-18 |
| 1538656111 | First Step To Recovery LLC | Substance Abuse Rehabilitation Facility | 7676 Hilmont, Suite 201, Houston, TX 77040 | 2018-04-18 |
| 1003311945 | Upthrust LLC | Non-emergency Medical Transport (VAN) | 7676 Hillmont St Ste 240e, Houston, TX 77040 | 2018-03-23 |
| 1952831737 | Allegra R Chopin | Technician | 7740 W Little York Rd, 2632, Houston, TX 77040 | 2017-06-14 |
| 1427509066 | Gary Chacon | Specialist/Technologist, Other | 9777 West Gulf Bank Rd, Suite 5, Houston, TX 77040 | 2016-10-19 |
| 1992253744 | Felicia Johnston | Counselor | 7787 Pinemont Dr. Suite B, Houston, TX 77040 | 2016-09-21 |
| 1285011841 | Michelle Callier | Occupational Therapist | 4423 Shadowdale, Houston, TX 77040 | 2015-05-04 |
| Find all providers in zip 77040 | ||||
| Taxonomy Code | 311Z00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. |
| Notes: Source: Paraphrased from Section 3159 A3 of the Medicare Intermediary Manual. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396399903 | Nakisha Heathmon | Custodial Care Facility | 2120 Hazlitt Dr, Houston, TX 77032-2060 | 2019-07-31 |
| 1639614225 | Fmc Home Health Care | Custodial Care Facility | 7322 Southwest Fwy # I-630f, Houston, TX 77074-2010 | 2017-01-05 |
| 1902267693 | Tommy Glaze | Custodial Care Facility | 9519 Eaglewood Glen Trl, Houston, TX 77083-6596 | 2016-03-09 |
| 1770980229 | Adolbi Care | Custodial Care Facility | 3737 Mangum Rd, Houston, TX 77092-5407 | 2014-11-28 |
| 1043617624 | Endless Opportunities, Inc. | Custodial Care Facility | 11144 Fuqua Street, 1123, Houston, TX 77089-2650 | 2014-11-26 |
| 1932469418 | Care At Neicy's Home | Custodial Care Facility | 9533 Ashville Dr, Houston, TX 77051-3255 | 2012-05-18 |
| 1215230305 | Loving Hands Adult Day Care LLC | Custodial Care Facility | 19914 Tunham Trl, Houston, TX 77073-6196 | 2010-12-10 |
| 1669788022 | Comfortvines Homehealth | Custodial Care Facility | 3303 Fm 1960 Rd W Ste 380, Houston, TX 77068-3611 | 2010-08-24 |
| 1871757625 | Viacell Int'l LLC | Custodial Care Facility | 4263 Hambledon Village Dr, Houston, TX 77014-1844 | 2008-07-10 |
| 1952576142 | Amcor Community Healthcare Inc | Custodial Care Facility | 6300 Hillcroft St Ste 306, Houston, TX 77081-3008 | 2008-04-28 |
| Find all providers in HOUSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.