JLEGEND HEALTH CARE CENTER, LLC (NPI# 1366952061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366952061 |
| Entity Type | Organization |
| Organization Name | JLEGEND HEALTH CARE CENTER, LLC |
| Practice Address |
9903 S Dairy Ashford Rd Apt 4102 Houston TX 77099-2330 |
| Practice Telephone | 7135487073 |
| Mailing Telephone | 7135487073 |
| Enumeration Date | 2017-10-07 |
| Last Update Date | 2017-10-07 |
| Authorized Official Name | MR. SABUR OLAJIDE SHOWUNMI (CEO) |
| Authorized Official Telephone | 7135487073 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
Respite Care Facility | ||
| N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
9903 S DAIRY ASHFORD RD APT 4102 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77099-2330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417566688 | Olajumoke Foluke Ajayi | Home Health | 9555 West Sam Houston Pwky S., 410, Houston, TX 77099 | 2020-07-23 |
| 1215580998 | Unity Adult Day Care | Health Maintenance Organization | 11522 South Drive, Houston, TX 77099 | 2019-07-22 |
| 1700340122 | Goshen Living Inc | Home Health | 11735 South Glen Drive #1003, Houston, TX 77099 | 2019-01-30 |
| 1306300140 | Nicanora Celsa Cuellar | Social Worker | 9810 West Sam Houston Parkway South, Suite 200, Houston, TX 77099 | 2019-01-25 |
| 1396223913 | Goshen Living Inc | Home Health | 11735 South Glen Drive, 1003, Houston, TX 77099 | 2018-08-06 |
| 1043724768 | Tj Brothers Pharmacy | Pharmacy | 10910 W. Bellfort Ave, Houston, TX 77099 | 2017-11-17 |
| 1427599042 | Patricio Gutierrez Magpali Jr. | Physical Therapist | 12030 Spring Grove Drive, Houston, TX 77099 | 2017-03-15 |
| 1790157709 | Rosemary Ngozi Ofili | Nurse Practitioner | 9644 Court Lane Drive, West Family Clinic, Houston, TX 77099 | 2015-10-29 |
| 1649670795 | Rochelle Ann Wright | Preferred Provider Organization | 11045 Lands Walk, 102, Houston, TX 77099 | 2014-08-26 |
| 1558792838 | Speaking Out Loud Speech Therapy Services, Pllc | Speech-Language Pathologist | 10960 Stancliff Road, Houston, TX 77099 | 2013-12-11 |
| Find all providers in zip 77099 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881216752 | Mental Health Care Solutions LLC | Case Manager/Care Coordinator | 2040 North Loop W Ste 370, Houston, TX 77018-8140 | 2020-05-13 |
| 1639790124 | Simone Warner | Case Manager/Care Coordinator | 350 Belway 8, Houston, TX 77060 | 2020-05-06 |
| 1013538677 | Porshia D Coleman | Case Manager/Care Coordinator | 350 N Sam Houston Pkwy E Ste 238, Houston, TX 77060-3320 | 2020-05-05 |
| 1659907129 | Debrilya Williams | Case Manager/Care Coordinator | 2500 E T C Jester Blvd Ste 178, Houston, TX 77008-1449 | 2020-03-17 |
| 1720611387 | Paula Free | Case Manager/Care Coordinator | 2828 Bammel Ln Apt 811, Houston, TX 77098-1146 | 2020-02-21 |
| 1922639335 | Light House Case Management | Case Manager/Care Coordinator | 14510 Gable Mountain Cir, Houston, TX 77090-2333 | 2020-02-04 |
| 1881224004 | Allyson Buckner | Case Manager/Care Coordinator | 7373 Ardmore St Apt 1286, Houston, TX 77054-4223 | 2020-01-16 |
| 1861030090 | Jairus Demond Scott | Case Manager/Care Coordinator | 12526 Greencanyon Dr, Houston, TX 77044-7247 | 2019-12-18 |
| 1912544248 | Faith Lyons | Case Manager/Care Coordinator | 3131 West Loop S Apt 463, Houston, TX 77027-6135 | 2019-12-05 |
| 1699323071 | Katina Young | Case Manager/Care Coordinator | 2219 Greenhouse Rd Apt 1304, Houston, TX 77084-7329 | 2019-08-29 |
| 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.