CITY CROWN PHP INC NPI 1689962508

NPI Information

NPI: 1689962508
Provider Name: CITY CROWN PHP INC
Classification: Intermediate Care Facility, Mental Illness - 310500000X
Entity Type: Organization
Address: 2626 RAVEN FALLS LN
FRIENDSWOOD, TX
ZIP 77546
Phone: (832) 326-9028

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NPI Details

CITY CROWN PHP INC is an intermediate care facility mental illness in Friendswood, TX. The provider is a nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. CITY CROWN PHP INC NPI is 1689962508. The provider is registered as an organization entity type.

The provider's business location address is:

2626 RAVEN FALLS LN
FRIENDSWOOD, TX
ZIP 77546-072
Phone: (832) 326-9028
Fax: (281) 992-2187

The provider's authorized official is Veronica Uzoamaka Okafor .
The authorized official title is Ceo and has the following contact phone number (832) 326-9028.

The enumeration date for this NPI number is 7/12/2011 and was last updated on 7/12/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310500000X	Intermediate Care Facility, Mental Illness				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	190878201	MEDICAID	TEXAS
2	457908	MEDICARE OSCAR/CERTIFICATION

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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