Provider Demographics
NPI:1124199328
Name:NAVIGATING AFFORDABLE PLACES FOR SENIORS-COMMUNITY DEVELOPERS, INC.
Entity Type:Organization
Organization Name:NAVIGATING AFFORDABLE PLACES FOR SENIORS-COMMUNITY DEVELOPERS, INC.
Other - Org Name:COVENANT GRACE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:832-928-8257
Mailing Address - Street 1:1003 PINE WALK TRL
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77388-5465
Mailing Address - Country:US
Mailing Address - Phone:832-928-8257
Mailing Address - Fax:281-651-8096
Practice Address - Street 1:1003 PINE WALK TRL
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77388-5465
Practice Address - Country:US
Practice Address - Phone:832-928-8257
Practice Address - Fax:281-651-8096
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-11
Last Update Date:2008-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010571251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX010571Medicare ID - Type UnspecifiedHCSSA