JUSTINE FOMUKONG


Address: 2739 Cypress Island Dr, Houston, TX 77073
Phone: 2817801226

JUSTINE FOMUKONG (NPI# 1467836676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
TX 3678864 05

Office Location

Street Address 2739 CYPRESS ISLAND DR
City HOUSTON
State TX
Zip Code 77073

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 251C00000X
Grouping Agencies
Classification Day Training, Developmentally Disabled Services

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City HOUSTON
Zip Code 77073

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Dataset Information

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.

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