MEDICARE: VIP ASSISTED LIVING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility	113641	TX

General Provider Information

NPI Number	:	1790905339
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VIP ASSISTED LIVING

Provider Business Mailing Address
First Line	:	6703 NEW YORK ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77021-5047
Country	:	US
Telephone Number	:	713-747-6600
Fax Number	:

Provider Business Practice Location Address
First Line	:	6703 NEW YORK ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77021-5047
Country	:	US
Telephone Number	:	713-747-6600
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MS. DEBRA GOODLY
Credential	:
Telephone Number	:	832-216-7504

Provider Enumeration Date	:	04/26/2007
Last Update Date	:	08/22/2020

Similar Medicare Providers

1811051451 — DR. STEPHEN JAY SMOLINS O.D.
Practice Location Address:

701 SHARPSTOWN CTR
HOUSTON, TX
77036-5047

Practice Phone: 713-981-6021
Practice Fax: 713-988-8741

1568633691 — RXPERTS PHARMACY - TEXAS LLC
Practice Location Address:

8700 JAMEEL RD , STE 150
HOUSTON, TX
77040-5047

Practice Phone: 713-460-5454
Practice Fax: 866-508-5574

1215199849 — ROSARY HOME HEALTH, INC
Practice Location Address:

16360 PARK TEN PL STE 108
HOUSTON, TX
77084-5047

Practice Phone: 281-600-1600
Practice Fax: 281-600-1602

1902058373 — DR BRUCE A HOFF, PC
Practice Location Address:

701 SHARPSTOWN CTR
HOUSTON, TX
77036-5047

Practice Phone: 713-981-6021
Practice Fax: 713-988-8741

1649418153 — RXPERTS PHARMACY - TEXAS, LLC
Practice Location Address:

8700 JAMEEL RD , SUITE 150
HOUSTON, TX
77040-5047

Practice Phone: 713-460-5454
Practice Fax: 866-975-1717

1891293130 — LATRICE M MOORE
Practice Location Address:

6322 LEDBETTER ST
HOUSTON, TX
77087-5047

Practice Phone: 225-385-4543
Practice Fax: 866-825-9703

Directions to “VIP ASSISTED LIVING ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.