Healthcare Provider Details

I. General information

NPI: 1205514981
Provider Name (Legal Business Name): PURPOSE OF VISION ADULT AND YOUTH ENRICHMENT CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2023
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 S LOOP W STE 150
HOUSTON TX
77054-2682
US

IV. Provider business mailing address

11041 SHADOW CREEK PKWY STE 121
PEARLAND TX
77584-7405
US

V. Phone/Fax

Practice location:
  • Phone: 832-768-8282
  • Fax:
Mailing address:
  • Phone: 832-768-8282
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: FELICIA JOHNSON
Title or Position: OWNER/DIRECTOR
Credential:
Phone: 832-768-8282