GINA ASSISTED LIVING
NPI 1104591478
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Fulshear, TX

Active since August 10, 2021
28418 ENCHANTED SHORES LN, FULSHEAR, TX 77441(832) 494-0623 Get Directions Write a Review

NPPES record last updated: August 10, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gina Assisted Living NPPES

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

GINA ASSISTED LIVING (NPI 1104591478) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Fulshear, Texas and active in the NPI registry since August 2021. The organization lists Regina E Besong, Program Manager, as its authorized official.

NPPES Registry Identity

NPI1104591478
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameGINA ASSISTED LIVING
Location Address28418 ENCHANTED SHORES LNFulshear, TX 77441-1791
Mailing Address28418 Enchanted Shores LnFulshear, TX 77441-1791 · (832) 494-0623
Organization SubpartNo
Authorized OfficialRegina E BesongProgram Manager · (832) 494-0623
Enumeration DateAugust 10, 2021
NPPES CertifiedAugust 10, 2021
NPI 1104591478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
28418 ENCHANTED SHORES LN, Fulshear, TX 77441

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 Gina Assisted Living's NPI number?

The NPI number for Gina Assisted Living is 1104591478. It was assigned to this organization in the NPPES registry on August 10, 2021.

Where is Gina Assisted Living located?

Gina Assisted Living is located at 28418 Enchanted Shores Ln, Fulshear, TX 77441. The listed phone number is (832) 494-0623.

What is Gina Assisted Living'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 Gina Assisted Living was last updated on August 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.