OrganizationActive
Immaculate Nursing LLC
NPI 1023907938 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Houston, TX
Provider details
- NPI number
- 1023907938
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Kafayat Mogoli, Manager(832) 497-9982
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3125 Boulder Ranch Dr
Houston, TX 77063-1482
Phone: (832) 517-5572
Approximate (ZIP-level) locationGet directions
Mailing address
3125 Boulder Ranch Dr
Houston, TX 77063-1482
Registry dates
- Enumerated
- 2025-07-03
- Last updated
- 2025-12-23
- Certified
- 2025-12-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.