FRESH-N-CLEAN (NPI# 1962879528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962879528 |
| Entity Type | Organization |
| Organization Name | FRESH-N-CLEAN |
| Practice Address |
12219 Ghita Ln Houston TX 77044-1580 |
| Practice Telephone | 8325175901 |
| Practice Fax Number | 8009186970 |
| Mailing Telephone | 8325175901 |
| Mailing Fax Number | 8009186970 |
| Enumeration Date | 2015-08-29 |
| Last Update Date | 2015-08-29 |
| Authorized Official Name | GARRY PICKROM (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 8325175901 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | Managed Care Organizations |
| Street Address |
12219 GHITA LN |
| City | HOUSTON |
| State | TX |
| Zip Code | 77044-1580 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073163077 | Michael Paul Cyr | Technician | 11306 Christian Dr., Houston, TX 77044 | 2019-09-12 |
| 1710458013 | Taylor Powell | Licensed Practical Nurse | 15027 Sheldon Ridge Way, Houston, TX 77044 | 2018-12-12 |
| 1205315611 | Magdalene Patricia Onyenekwe | Registered Nurse | 15410 Broken Hills Lane, Houston, TX 77044 | 2018-08-08 |
| 1730613076 | Decordova Eyewear LLC | Optometrist | 12230 West Lake Houston Parkway, Suite 155, Humble, TX 77044 | 2017-04-13 |
| 1407392871 | Keisha Aniece Welsh | Registered Nurse | 12919 Barkley Bend Lane, Houston, TX 77044 | 2017-01-10 |
| 1710438213 | Texas Alliance Surgical Center, LLC | Clinic/Center | 14315 E. Sam Houston Pkwy, Ste. 200, Houston, TX 77044 | 2016-10-19 |
| 1801345038 | National Vision, Inc. | Technician/Technologist | 14243 East Sam Houston Pkwy N, Suite 1000, Houston, TX 77044 | 2016-09-29 |
| 1043768443 | Signature Smiles Humble Pllc | Dentist | 14315 E. Sam Houston Parkway, Suite 100, Houston, TX 77044 | 2016-09-14 |
| 1902290554 | Andrea Folayan | Dentist | Four Lion Dental Boutique, 16430 West Lake Houston #700, Houston, TX 77044 | 2015-03-21 |
| 1306237904 | Summerwood Medical Center | Clinic/Center | 12665 W Lake Houston Pkwy, Houston, TX 77044 | 2015-02-18 |
| Find all providers in zip 77044 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639634512 | Agape Love International Foundation | Point of Service | 11614 Welshpool Glen Dr, Houston, TX 77066-4621 | 2019-02-05 |
| 1871077446 | Novacure Group, LLC | Point of Service | 5161 San Felipe St Ste 320-18, Houston, TX 77056-3633 | 2018-09-19 |
| 1790220481 | Premier Diagnostic Center | Point of Service | 10311 Homestead Road, Houston, TX 77016 | 2017-01-04 |
| 1134673072 | Peace of Mind Adult Day Care Center | Point of Service | 3355 Fm 1960 Rd W, Houston, TX 77068-3605 | 2016-08-09 |
| 1902257843 | My Focus On Life Inc | Point of Service | 8323 Southwest Fwy Ste 425, Houston, TX 77074-1618 | 2016-06-22 |
| 1740641687 | Dl Medical Billing Professional/ Professionals LLC | Point of Service | 5302 Ingomar Way, Houston, TX 77053-2112 | 2016-03-18 |
| 1730557711 | Destiny Consulting | Point of Service | 15006 Welcome Ln, Houston, TX 77014-1408 | 2015-09-09 |
| 1225405806 | Healing Hands & Health Therapities | Point of Service | 4711 W Alabama St, Apt B, Houston, TX 77027-4731 | 2015-08-30 |
| 1164821369 | Lawil Group Inc | Point of Service | 6862 Crosswell St, Houston, TX 77087-6811 | 2014-08-14 |
| 1912325614 | Caresmart Caregivers LLC | Point of Service | 12806 Reedwood Ridge Rd, Houston, TX 77065-3358 | 2014-03-31 |
| 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.