INSTITUTE ON HEALTHY AGING (NPI# 1154880490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154880490 |
| Entity Type | Organization |
| Organization Name | INSTITUTE ON HEALTHY AGING |
| Practice Address |
9406 Fern Wood Frst Houston TX 77040-6892 |
| Practice Telephone | 7132911567 |
| Mailing Telephone | 7132911567 |
| Enumeration Date | 2019-03-17 |
| Last Update Date | 2019-03-17 |
| Authorized Official Name | ASHEVA PHILLIPS (CEO) |
| Authorized Official Telephone | 7132911567 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| VaughnGage Holistic Adult Day | Doing Business As Name - Organization |
| Street Address |
9406 FERN WOOD FRST |
| City | HOUSTON |
| State | TX |
| Zip Code | 77040-6892 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295106649 | Senior Citizens Bureau | Custodial Care Facility | 9406 Fern Wood Frst, Houston, TX 77040-6892 | 2015-10-12 |
| 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 | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427662667 | Journey To Recovery LLC | Clinic/Center | 2815 W T C Jester Blvd Ste 102, Houston, TX 77018-7049 | 2020-09-04 |
| 1174143002 | Ultimate Pain Solutions, P.l.l.c. | Clinic/Center | 9700 Richmond Ave Ste 120, Houston, TX 77042-4697 | 2020-04-21 |
| 1770124042 | William Shepherd | Clinic/Center | 16800 Imperial Valley Dr, Houston, TX 77060-3159 | 2019-10-08 |
| 1114570199 | Neurology Practice Group, Pllc | Clinic/Center | 2711 Ferndale Street, Houston, TX 77098 | 2019-07-19 |
| 1881152965 | Bear Creek Medical Center, Inc. | Clinic/Center | 4521 Highway 6 N Ste C, Houston, TX 77084-3479 | 2019-03-07 |
| 1710443627 | Total Life of Houston, LLC Dba J Flowers Health Institute | Clinic/Center | 1750 Sky Lark Ln Unit 2918, Houston, TX 77056-3747 | 2019-02-15 |
| 1952886699 | Accucare Medical Clinic Pllc | Clinic/Center | 2918 San Jacinto St Ste 150, Houston, TX 77004 | 2018-09-28 |
| 1205326022 | Abacus Ime LLC | Clinic/Center | 1240 Blalock Rd Ste 190, Houston, TX 77055-6451 | 2018-05-17 |
| 1164921300 | Texas County Memorial Hospital | Clinic/Center | 1333 S Sam Houston Blvd Ste A, Houston, MO 65483 | 2018-02-02 |
| 1336650860 | Fast Recovery Healthcare Center LLC | Clinic/Center | 6260 Westpark Dr Ste 300h, Houston, TX 77057-7353 | 2017-10-24 |
| 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.