JUSTINE FOMUKONG (NPI# 1467836676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467836676 |
Entity Type | Individual |
Full Name | JUSTINE FOMUKONG |
Practice Address |
2739 Cypress Island Dr Houston TX 77073 |
Mailing Address |
2739 Cypress Island Dr Houston TX 77073-1601 |
Practice Telephone | 2817801226 |
Enumeration Date | 2015-07-17 |
Last Update Date | 2018-06-04 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 251C00000X | Day Training, Developmentally Disabled Services | 017805 | TX | Agencies |
Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 3678864 | 05 |
Street Address |
2739 CYPRESS ISLAND DR |
City | HOUSTON |
State | TX |
Zip Code | 77073 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033660899 | Jf Spring Health Services LLC | Day Training, Developmentally Disabled Services | 2739 Cypress Island Dr, Houston, TX 77073-1601 | 2016-10-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215534227 | Michael Clark | Contractor | 1107 Lavender Shade Court, Houston, TX 77073 | 2020-10-02 |
1891286365 | Cina Pharmaceutical Inc | Durable Medical Equipment & Medical Supplies | 21602 E. Hardy Rd, Houston, TX 77073 | 2018-05-21 |
1972032373 | Home for Today | Custodial Care Facility | 1206 Laurel Chase Trail, Houston, TX 77073 | 2017-06-08 |
1386097590 | Cynthia D D Jones | Psychologist | 918 Garden Land Ct, Houston, TX 77073 | 2016-07-22 |
1821399486 | Lonestar Medics Ems, Inc | Ambulance | 19422 Remington Cross Dr, Houston, TX 77073 | 2010-11-12 |
1891023255 | Rely Able Medical Supply of Houston | Durable Medical Equipment & Medical Supplies | 303 Remington Green Court, Houston, TX 77073 | 2009-11-24 |
1306014147 | Rayford Dental | Dentist | 2535 F.m.1960 East, Houston, TX 77073 | 2008-02-14 |
1033726641 | Siedzecare LLC | In Home Supportive Care | 310 Parramatta Ln Apt 3225, Houston, TX 77073-1038 | 2020-09-28 |
1346588373 | Honeybeeseniorcareservices | Custodial Care Facility | 22820 Imperial Valley Dr # 3708, N/a, Houston, TX 77073-1055 | 2013-01-25 |
1972528990 | Thomas Stephen Woods | Specialist/Technologist | 22351 Imperial Valley Dr, Houston, TX 77073-1102 | 2006-07-12 |
Find all providers in zip 77073 |
Taxonomy Code | 251C00000X |
Grouping | Agencies |
Classification | Day Training, Developmentally Disabled Services |
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184247926 | Two Hands Pllc | Day Training, Developmentally Disabled Services | 3945 Braxton Dr Ste 1, Houston, TX 77063 | 2020-05-27 |
1871143800 | Sonya Lorraine Townsend | Day Training, Developmentally Disabled Services | 12814 Hawthorne Shores Dr, Houston, TX 77044-1255 | 2019-09-11 |
1467946814 | A Chance Una Oportunidad | Day Training, Developmentally Disabled Services | 10226 Norvic St, Houston, TX 77029-2545 | 2018-06-19 |
1134624828 | Teresa Bennett | Day Training, Developmentally Disabled Services | 6707 Larkstone St, Houston, TX 77028-2207 | 2018-03-26 |
1568987162 | Stephen and Ina Dixon Wellness Center | Day Training, Developmentally Disabled Services | 1111 Mcilhenny St Ste 28, Houston, TX 77002-9141 | 2017-08-04 |
1386166916 | Mitchell Solutions, LLC | Day Training, Developmentally Disabled Services | 17217 Hafer Rd Apt 7201, Houston, TX 77090-3955 | 2017-07-14 |
1376063024 | Florence Bennett | Day Training, Developmentally Disabled Services | 6111 Wilcrest Dr, Houston, TX 77072 | 2017-06-23 |
1164955340 | Unlimited Horizons | Day Training, Developmentally Disabled Services | 4422 Cypress Creek Pkwy, Ste 125, Houston, TX 77068-3419 | 2017-04-05 |
1013440304 | Chrysalis Spectrum LLC | Day Training, Developmentally Disabled Services | 6819 Prairie Dunes Dr, Houston, TX 77069-1785 | 2017-04-04 |
1538609805 | Joy's Care | Day Training, Developmentally Disabled Services | 8505 Cambridge St, Suite 8507, Houston, TX 77054-4000 | 2017-03-06 |
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.