Healthcare Provider Details
I. General information
NPI: 1821733478
Provider Name (Legal Business Name): NEXT CHAPTER ASSISTED LIVING LLC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/28/2022
Last Update Date: 04/28/2022
Certification Date: 06/25/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7105 OLD KATY RD APT 3227
HOUSTON TX
77024-2161
US
IV. Provider business mailing address
7105 OLD KATY RD APT 3227
HOUSTON TX
77024-2161
US
V. Phone/Fax
- Phone: 585-520-9383
- Fax:
- Phone: 585-520-9383
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QA0600X |
| Taxonomy | Adult Day Care Clinic/Center |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name: DR.
TOLLEY
CHARISSE
REEVES
Title or Position: CEO
Credential: PH.D.
Phone: 585-520-9383