=====================================================
General NPI Number Information
=====================================================
NPI Number | 1649659848
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | WESTBURY HEALTHCARE SOLUTIONS LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/21/2015
-----------------------------------------------------
Last Update Date | 06/20/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2636 S LOOP W STE 280
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77054-2877
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 832-669-9926
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2636 S LOOP W
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77054-2680
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 832-669-9926
-----------------------------------------------------
Fax | 832-669-9984
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATOR
-----------------------------------------------------
Name | MONIQUE GRIFFIN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 832-669-9926
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251B00000X
-----------------------------------------------------
Taxonomy Name | Case Management Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------