IMMACULATE NURSING LLC
NPI 1023907938
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Houston, TX

Q: What is Immaculate Nursing LLC's NPI number?

The NPI number for Immaculate Nursing LLC is 1023907938. It was assigned to this organization in the NPPES registry on July 3, 2025.

Q: What is Immaculate Nursing LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

Active since July 03, 2025

3125 BOULDER RANCH DR, HOUSTON, TX 77063(832) 517-5572 Get Directions Write a Review

NPPES record last updated: December 23, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 23, 2025, Jul 3, 2025 (2 updates tracked since 2025).

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About Immaculate Nursing Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IMMACULATE NURSING LLC (NPI 1023907938) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Houston, Texas and active in the NPI registry since July 2025. The organization lists Kafayat Mogoli, Manager, as its authorized official.

NPPES Registry Identity

NPI1023907938

Entity TypeOrganization

Primary Taxonomy320900000X

Legal Business NameIMMACULATE NURSING LLC

Location Address3125 BOULDER RANCH DRHouston, TX 77063-1482

Mailing Address3125 Boulder Ranch DrHouston, TX 77063-1482 · (832) 517-5572

Phone(832) 517-5572

Organization SubpartNo

Authorized OfficialKafayat MogoliManager · (832) 497-9982

Enumeration DateJuly 3, 2025

Last NPPES UpdateDecember 23, 20252 updates tracked since enumeration

NPPES CertifiedDecember 23, 2025

✔ NPI 1023907938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320900000X

Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

3125 BOULDER RANCH DR, Houston, TX 77063

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAFAYAT MOGOLI

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

3125 BOULDER RANCH DR
HOUSTON, TX 77063

Harris County (832) 517-5572

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Immaculate Nursing LLC's NPI number?

The NPI number for Immaculate Nursing LLC is 1023907938. It was assigned to this organization in the NPPES registry on July 3, 2025.

Where is Immaculate Nursing LLC located?

Immaculate Nursing LLC is located at 3125 Boulder Ranch Dr, Houston, TX 77063. The listed phone number is (832) 517-5572.

What is Immaculate Nursing LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Immaculate Nursing LLC was last updated on December 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.