CITY CROWN PHP INC (NPI# 1689962508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689962508 |
| Entity Type | Organization |
| Organization Name | CITY CROWN PHP INC |
| Practice Address |
2626 Raven Falls Ln Friendswood TX 77546-6072 |
| Practice Telephone | 8323269028 |
| Practice Fax Number | 2819922187 |
| Mailing Telephone | 8323269028 |
| Mailing Fax Number | 2819922187 |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2011-07-12 |
| Authorized Official Name | MS. VERONICA UZOAMAKA OKAFOR (CEO) |
| Authorized Official Telephone | 8323269028 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310500000X | Intermediate Care Facility, Mental Illness | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 190878201 | 05 |
| Street Address |
2626 RAVEN FALLS LN |
| City | FRIENDSWOOD |
| State | TX |
| Zip Code | 77546-6072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922629229 | Veronica Uzoamaka Okafor | Nurse Practitioner | 2626 Raven Falls Ln, Friendswood, TX 77546-6072 | 2020-04-28 |
| 1548880396 | Leading Crown Professional Group, Inc | Nurse Practitioner | 2626 Raven Falls Ln, Friendswood, TX 77546-6072 | 2020-04-22 |
| 1366781411 | Meccan Healthcare Services Inc | Home Health | 2626 Raven Falls Ln, Friendswood, TX 77546-6072 | 2013-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154943736 | Robina Lukose Philip | Physical Therapist | 104 East Heritage Drive, Friendswood, TX 77546 | 2020-05-17 |
| 1417587213 | See B Seen Eyecare LLC | Optometrist | 1501 W. Parkwood Ave, Suite 101, Friendswood, TX 77546 | 2020-01-21 |
| 1831740299 | Kristen Chambliss, Ph.d., Pllc | Psychologist | 1506 E. Winding Way Dr., Suite 606, Friendswood, TX 77546 | 2019-09-26 |
| 1215585765 | Vivian Stephanie Pollock | Technician | 524 Fairdale St., Friendswood, TX 77546 | 2019-08-28 |
| 1174182612 | Katarina Ann Ament | Psychologist | 1410 Winding Way Dr., Suite E, Friendswood, TX 77546 | 2019-06-09 |
| 1982261087 | Ahmed Alkholeidi Dds Pllc | Dentist | 2111 W Parkwood Ave, Suite 105, Friendswood, TX 77546 | 2019-05-23 |
| 1407334899 | Friendswood Center for Family Health LLP | Clinic/Center | 4 Oaktree St Ste 2, Friendswood, TX 77546 | 2018-07-30 |
| 1376099655 | Sitting Saints LLC | Home Health | 3518 Harbor Pass Ln, Friendswood, TX 77546 | 2016-08-28 |
| 1316302557 | Texas Integrated Healthcare Solutions Pllc | General Practice | 3344 East 528, Friendswood, TX 77546 | 2015-12-15 |
| 1831561414 | Friendswood Modern Dentistry,pc | Dentist | 1780 S Friendswood Dr Suite A, Firendswood, TX 77546 | 2015-10-22 |
| Find all providers in zip 77546 | ||||
| Taxonomy Code | 310500000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mental Illness |
| A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831741602 | Yvette S Amador | Intermediate Care Facility, Mental Illness | 9300 Aubrey Ct, Fort Worth, TX 76140-5169 | 2019-07-11 |
| 1598213878 | Harmony Living Centers Inc | Intermediate Care Facility, Mental Illness | 101 Rosebud Dr, Marshall, TX 75672-3371 | 2016-09-15 |
| 1609136944 | James E. Ryan | Intermediate Care Facility, Mental Illness | 5322 22nd St, Lubbock, TX 79407-2117 | 2012-05-21 |
| 1548586720 | Mental Health Facility | Intermediate Care Facility, Mental Illness | 556 Buffalo Creek Dr, Desoto, TX 75115-5328 | 2010-04-13 |
| 1518296698 | Hannah's Place A Home With Love | Intermediate Care Facility, Mental Illness | 12251 Running Bird Ln, Austin, TX 78758-2633 | 2009-12-18 |
| 1609077205 | Newstart Inc. | Intermediate Care Facility, Mental Illness | 4503 Palomino Ct, Arlington, TX 76017-1592 | 2007-05-30 |
| 1508072000 | Fe Care Inc | Intermediate Care Facility, Mental Illness | 19365 Fm 2252, Suite 9, Garden Ridge, TX 78266-2566 | 2007-05-14 |
| 1326252750 | Specialized Home Life | Intermediate Care Facility, Mental Illness | 12302 Gran Vista St, San Antonio, TX 78233-5927 | 2007-05-08 |
| 1285757385 | Special Texas Homes, Inc. | Intermediate Care Facility, Mental Illness | 2301 Olive Cir, Baytown, TX 77520-5775 | 2007-04-06 |
| 1558484659 | Special Texas Homes, Inc. | Intermediate Care Facility, Mental Illness | 706 Maplewood St, Baytown, TX 77520-2545 | 2007-04-06 |
| Find all providers with the same taxonomy | ||||
| City | FRIENDSWOOD |
| Zip Code | 77546 |
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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.