CORPORATE SENIOR CENTER (NPI# 1114041811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114041811 |
| Entity Type | Organization |
| Organization Name | CORPORATE SENIOR CENTER |
| Practice Address |
9630 Clarewood Dr A1 Houston TX 77036-3512 |
| Practice Telephone | 7132726688 |
| Practice Fax Number | 7132716689 |
| Mailing Telephone | 7132726688 |
| Mailing Fax Number | 7132716689 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2008-12-18 |
| Authorized Official Name | JOHN J DUNN (MANAGER) |
| Authorized Official Telephone | 7132726688 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
117648 | TX | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | AMERIGROUP ID | 10014978 | 01 |
| Street Address |
9630 CLAREWOOD DR A1 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77036-3512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972546539 | Chi C Mao | Specialist | 9630 Clarewood Dr, Houston, TX 77036-3512 | 2006-06-13 |
| 1689937906 | Samson Ediae | Ambulance | 9630 Clarewood Dr, Suite B-6, Houston, TX 77036-3512 | 2012-06-21 |
| 1790042463 | Samson Ediae | Ambulance | 9630 Clarewood Dr, Ste B6, Houston, TX 77036-3512 | 2012-04-18 |
| 1851414155 | Clarewood Chiropractic Clinic, P.C. | Chiropractor | 9630 Clarewood Dr, Suite A-3, Houston, TX 77036-3512 | 2007-04-09 |
| 1679624522 | Robert Dennis Stocks | Physician Assistant | 9630 Clarewood Dr, Suite A1, Houston, TX 77036-3512 | 2007-01-16 |
| 1164435384 | Universal Med-health Center, LLC | Specialist | 9630 Clarewood Dr, Suite A1, Houston, TX 77036-3512 | 2006-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598395923 | Anthony Ikekwem | Technician | 10202 Forum Park Dr Apt. #292, Houston, TX 77036 | 2020-01-24 |
| 1841835055 | Charles C Cherry | Chiropractor | 9898 Bissonnet #152, Houston, TX 77036 | 2019-11-12 |
| 1306497664 | Care 4 U Hospice, Inc. | Hospice Care, Community Based | 6464 Savoy Dr Ste 545, Houston, TX 77036 | 2019-09-26 |
| 1396303574 | At Home Lymphatic Wellness | Clinic/Center | 9898 Bissonnet St Ste 665, Houston, TX 77036 | 2019-06-03 |
| 1336706910 | Nkem A Kelly | Marriage & Family Therapist | 7001 Coorporate Drive Suite 215, Houston, TX 77036 | 2019-05-20 |
| 1184102477 | Kristin Erin Moreau | Speech-Language Pathologist | 6000 Reims Rd #4106, Houston, TX 77036 | 2018-07-30 |
| 1982199501 | Ltc Transportation, LLC | Transportation Broker | 9630 Clarewood Dr. A2, Houston, TX 77036 | 2018-06-26 |
| 1194216853 | Main Street Physical Therapy Solutions Inc | Home Health | 10006 Bissonnet St Suite A, Houston, TX 77036 | 2018-05-29 |
| 1376046136 | Nirvana Behavioral Solutions,llc | Case Management | 7111 Harwin Dr Ste 130, Houston, TX 77036 | 2018-03-17 |
| 1295238103 | Eldozase Logistics | Ambulance | 9301 Beechnut St. #1508, Houston, TX 77036 | 2018-03-16 |
| Find all providers in zip 77036 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336766336 | Living Faith Community Home, Inc. | Custodial Care Facility | 10735 Braes Forest Dr, Houston, TX 77071-1501 | 2020-06-25 |
| 1558901249 | Natasha Mosley | Custodial Care Facility | 9027 Weymouth Dr, Houston, TX 77031-3032 | 2020-01-09 |
| 1073097663 | Lawrence Carethers | Custodial Care Facility | 6226 Kashmere St, Houston, TX 77026-1626 | 2018-09-19 |
| 1659852820 | Divinity Care Center | Custodial Care Facility | 5800 Ranchester Dr Ste 188, Houston, TX 77036-2464 | 2018-08-27 |
| 1972032373 | Home for Today | Custodial Care Facility | 1206 Laurel Chase Trail, Houston, TX 77073 | 2017-06-08 |
| 1972034858 | Christine Peltier-mulcare | Custodial Care Facility | 2307 Tomlinson Trail Dr, Houston, TX 77067-3797 | 2017-03-23 |
| 1477092641 | Caring Cove LLC | Custodial Care Facility | 4903 Christopher Pl, Houston, TX 77066-1712 | 2017-02-21 |
| 1912445370 | Lisa M Barrow | Custodial Care Facility | 3110 Kainer Meadows Ln, Houston, TX 77047-6230 | 2017-02-06 |
| 1538604079 | About Living Healthcare Services | Custodial Care Facility | 7600 Creekbend Dr Apt 823, Houston, TX 77071-1849 | 2016-12-19 |
| 1265974232 | Gt Living Center, Inc | Custodial Care Facility | 1414 S Dairy Ashford Rd Apt 801, Houston, TX 77077-2356 | 2016-11-08 |
| 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.