City Reformation Inc
Custodial Care Facility (Adult Care Home)

Address: 5429 Doulton Dr, Houston, TX 77033-2817
Phone: 2816707213

City Reformation Inc (NPI# 1134715279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1134715279
Entity Type Organization
Practice Address 5429 Doulton Dr
TX 77033-2817
Practice Telephone 2816707213
Mailing Address 5429 Doulton Dr
TX 77033-2817
Mailing Telephone 2816707213
Authorized Official Name Mrs. Kenya Shields (MANAGER)
Authorized Official Telephone 2817607204
Authorized Official Credential BA
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2020-12-13
Last Update Date 2020-12-13

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 311ZA0620X Custodial Care Facility · Adult Care Home Nursing & Custodial Care Facilities

Other Provider/Organization Names

Other Name Type Code
City Reformation Doing Business As Name - Organization

Taxonomy Information

Taxonomy Code 311ZA0620X
Grouping Nursing & Custodial Care Facilities
Classification Custodial Care Facility
Specialization Adult Care Home

Taxonomy Definition

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]

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Office Location

Street Address 5429 DOULTON DR
State TX
Zip Code 77033-2817

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1356641005 Jericho House LLC Assisted Living Facility 4845 Rue Street, Houston, TX 77033 2010-10-28
1710109004 Mar Vir Ley Selections Non-emergency Medical Transport (VAN) 7723 Belgard Street, Houston, TX 77033 2007-05-03
1134231046 C & L Pharmacy Pharmacy 5600 Mykawa, Houston, TX 77033 2006-08-31
1083104806 Life Changing Assistance Healthcare, LLC Home Health 5025 Doolittle Blvd, Houston, TX 77033 2018-05-16
1245742758 Odalis Lizeth Valdez Nurse Practitioner 5515 South Loop E, Houston, TX 77033 2017-10-25
1124423736 Deontology Exclusive Provider Organization 6022 Belneath St, Houston, TX 77033 2014-10-24
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Zip Code 77033

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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.