Organization · Type 2 NPI

Upscale Revitalization Community Development Center

Adult Care Home Facility · Missouri City, TX

NPI number 1104264043 Active

Practice location

4440 Lexington Blvd
Missouri City, TX 77459-2821

Fax (281) 969-8366

Specialties and licenses

Taxonomy	Code	License
Adult Care Home Facility Primary	311ZA0620X	None listed

Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

Another provider at this address

Upscale Revitalization Community Development CorporationIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Missouri City, TX NPI 1174886030

Other adult care home facility providers in Missouri City

See all in Missouri City →

NPI record

NPI: 1104264043
Entity type: Organization (Type 2)
Issued: Jun 13, 2013
Last updated: Jun 13, 2013
Status: Active
Subpart: Yes of Upscale Revitalization Community Development Center

Other names

<unavail>
Upscale L.y.f.f.e(leading You for Future Elevation) · doing business as

Authorized official

Dr. Rivers R Glover, D
Ex. Director
(832) 798-6878

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1104264043

Upscale Revitalization Community Development Center's National Provider Identifier is 1104264043, issued on Jun 13, 2013. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Missouri City, TX. The record was last updated on Jun 13, 2013.