GREGORY D SHEAD (NPI# 1740879782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740879782 |
| Entity Type | Individual |
| Full Name | GREGORY D SHEAD |
| Gender | Male |
| Practice Address | 14511 Jessica Falls Cir Houston TX 77044-4969 |
| Practice Telephone | 2819004147 |
| Mailing Address | 14511 Jessica Falls Cir Houston TX 77044-4969 |
| Mailing Telephone | 2819004147 |
| Certification Date | 2021-01-14 |
| Enumeration Date | 2021-01-14 |
| Last Update Date | 2021-01-14 |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | Taxonomy Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| N | 311ZA0620X | Custodial Care Facility Specialization: Adult Care Home | Nursing & Custodial Care Facilities | |||
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities | |||
| N | 373H00000X | Day Training/Habilitation Specialist | Nursing Service Related Providers | |||
| N | 385HR2060X | Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities | Respite Care Facility |
| Endpoint Type | Endpoint | Affiliation | Affiliation Address | Use | Content |
|---|---|---|---|---|---|
| CONNECT URL | gregoryshd5@gmail.com (Owner/ Provider email address) | 14511 Jessica Falls Cir, Houston, TX 770444969 | Health Information Exchange (HIE) | CSV |
| Street Address | 14511 JESSICA FALLS CIR |
| City | HOUSTON |
| State | TX |
| Zip Code | 77044-4969 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073163077 | Michael Paul Cyr | Technician · Attendant Care Provider | 11306 Christian Dr., Houston, TX 77044 | 2019-09-12 |
| 1710458013 | Taylor Powell | Licensed Practical Nurse | 15027 Sheldon Ridge Way, Houston, TX 77044 | 2018-12-12 |
| 1205315611 | Magdalene Patricia Onyenekwe | Registered Nurse | 15410 Broken Hills Lane, Houston, TX 77044 | 2018-08-08 |
| 1730613076 | Decordova Eyewear LLC | Optometrist | 12230 West Lake Houston Parkway, Suite 155, Humble, TX 77044 | 2017-04-13 |
| 1407392871 | Keisha Aniece Welsh | Registered Nurse · Hospice | 12919 Barkley Bend Lane, Houston, TX 77044 | 2017-01-10 |
| 1710438213 | Texas Alliance Surgical Center, LLC · Alliance Surgical Center Humble | Clinic/Center · Ambulatory Surgical | 14315 E. Sam Houston Pkwy, Ste. 200, Houston, TX 77044 | 2016-10-19 |
| 1801345038 | National Vision, Inc. · America's Best Contacts & Eyeglasses | Technician/Technologist · Optician | 14243 East Sam Houston Pkwy N, Suite 1000, Houston, TX 77044 | 2016-09-29 |
| 1043768443 | Signature Smiles Humble Pllc · Signature Smiles Humble | Dentist · General Practice | 14315 E. Sam Houston Parkway, Suite 100, Houston, TX 77044 | 2016-09-14 |
| 1902290554 | Andrea Folayan | Dentist · General Practice | Four Lion Dental Boutique, 16430 West Lake Houston #700, Houston, TX 77044 | 2015-03-21 |
| 1306237904 | Summerwood Medical Center · First Choice Emergency Room | Clinic/Center · Emergency Care | 12665 W Lake Houston Pkwy, Houston, TX 77044 | 2015-02-18 |
| Find all providers in zip 77044 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285253856 | 1 Care Premier Services LLC | 340 N Sam Houston Pkwy E Ste A247, Houston, TX 77060-3305 | 2020-04-13 | |
| 1144877481 | Boniswa Portia Maduna | 8000 Cook Rd Apt 1109, Houston, TX 77072-3939 | 2019-08-21 | |
| 1376104653 | Ladies Haven | 2525 Winrock Blvd Apt 122, Houston, TX 77057-4325 | 2019-06-26 | |
| 1366005712 | Cogic | 7809 Winship St, Houston, TX 77028-2441 | 2019-04-20 | |
| 1891257382 | Amazing Grace Greater Homes LLC | 9231 Floral Crest Dr, Houston, TX 77083-6226 | 2019-04-03 | |
| 1083172092 | Silver Lining Residential,Llc | 8014 Montague Manor Ln, Houston, TX 77072-0124 | 2019-03-08 | |
| 1922570712 | Katrina Williams · Katrina Stover | 12214 Plumpoint Dr, Houston, TX 77099-3138 | 2018-12-18 | |
| 1902376635 | Friendly Angels LLC | 15403 Town Green Dr, Houston, TX 77083-5539 | 2018-11-26 | |
| 1851869358 | Wavuli Foundation | 8542 Village Rose Ln, Houston, TX 77072-5649 | 2018-11-02 | |
| 1083197966 | C&d Amazing Care Inc | 15226 Mission Forest Dr, Houston, TX 77083-7359 | 2018-09-07 | |
| Find all providers in HOUSTON | ||||
| City | HOUSTON |
| Zip Code | 77044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982928099 | Patricia Shead Winston · Patricia Ann Shead | Pharmacist | 1620 Century Center Pkwy, Memphis, TN 38134-0181 | 2010-03-18 |
| 1871158881 | Ra'Shead Pompey | Student in an Organized Health Care Education/Training Program | 304 Shorter Ave Nw Ste 201, Rome, GA 30165-4256 | 2019-05-06 |
| 1346377959 | Beverly Jean Shead | Licensed Practical Nurse | 298 Atkins St, Sardis, MS 38666-2428 | 2007-02-28 |
| 1811398126 | Diane Shead | Physical Therapist | 1421 N Wanda Rd, Suite 110, Orange, CA 92867-5343 | 2014-09-06 |
| 1285036582 | Sharla Shead | Nurse Practitioner · Family | 1718 S Henderson Blvd, Kilgore, TX 75662-3544 | 2014-09-18 |
| 1518128685 | Ronald Demetruis Shead | Counselor · Mental Health | 5030 El Camino Ave, Carmichael, CA 95608-4650 | 2008-06-21 |
| 1619090586 | Patrick Joseph Shead | Physical Therapy Assistant | 1101 N Morgan St, Shelby, NC 28150-3848 | 2007-04-07 |
| 1710427067 | Ebony Shead | Social Worker | 4040 Memorial Pkwy Sw, Huntsville, AL 35802-4364 | 2017-03-06 |
| 1134231244 | Susan Penrod Shead | Social Worker · Clinical | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2006-08-31 |
| 1407060767 | Kimberly Lavearne Shead | Speech-Language Pathologist | 1665 Pete St, Greenville, MS 38701-7328 | 2007-05-09 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.