Provider Demographics
NPI:1043293301
Name:JOSHUAS PLACE LLC
Entity type:Organization
Organization Name:JOSHUAS PLACE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER & ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MONIQUE
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:MS MBA
Authorized Official - Phone:832-778-1655
Mailing Address - Street 1:PO BOX 20325
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77225-0325
Mailing Address - Country:US
Mailing Address - Phone:832-778-1655
Mailing Address - Fax:832-778-1657
Practice Address - Street 1:2656 SOUTH LOOP W
Practice Address - Street 2:SUITE 233
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2664
Practice Address - Country:US
Practice Address - Phone:832-778-1655
Practice Address - Fax:832-778-1657
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX681192163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministratorGroup - Single Specialty