Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Active since July 03, 2025
3125 BOULDER RANCH DR, HOUSTON, TX 77063(832) 517-5572 Get Directions Write a Review

NPPES record last updated: August 28, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 28, 2026, Dec 23, 2025, Jul 3, 2025 (3 updates tracked since 2025).

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
Organization SubpartNo
Authorized OfficialKafayat MogoliManager · (832) 497-9982
Enumeration DateJuly 3, 2025
Last NPPES UpdateAugust 28, 20263 updates tracked since enumeration
NPPES CertifiedAugust 28, 2026
NPI 1023907938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Also ListedPrivate VehicleTaxonomy 347C00000X
3125 BOULDER RANCH DR, Houston, TX 77063

Other Providers at the Same Location NPPES

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

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
3125 BOULDER RANCH DR
HOUSTON, TX 77063

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 August 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.