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SR SAM
NPI 1457787079
Custodial Care Facility in La Porte, TX

Active since September 16, 2013
502 N 5TH ST, LA PORTE, TX 77571(832) 677-2248(281) 471-1263 Get Directions Write a Review

NPPES record last updated: September 16, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sr Sam NPPES

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

SR SAM (NPI 1457787079) is a healthcare organization registered as a custodial care facility in La Porte, Texas and active in the NPI registry since September 2013. The organization lists Constance K Gordon, Owner, as its authorized official.

NPPES Registry Identity

NPI1457787079
Entity TypeOrganization
Primary Taxonomy311Z00000X
Legal Business NameSR SAM
Location Address502 N 5TH STLa Porte, TX 77571-3310
Mailing Address502 N 5th StLa Porte, TX 77571-3310 · (832) 677-2248
Phone(832) 677-2248
Fax(281) 471-1263
Organization SubpartNo
Authorized OfficialConstance K GordonOwner · (832) 677-2248
Enumeration DateSeptember 16, 2013
✔ NPI 1457787079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCustodial Care FacilityNursing & Custodial Care Facilities
Taxonomy Code311Z00000X
Definition
A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel.
Also ListedCustodial Care Facility · Adult Care HomeTaxonomy 311ZA0620X
502 N 5TH ST, La Porte, TX 77571
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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 Sr Sam's NPI number?

The NPI number for Sr Sam is 1457787079. It was assigned to this organization in the NPPES registry on September 16, 2013.

Where is Sr Sam located?

Sr Sam is located at 502 N 5th St, La Porte, TX 77571. The listed phone number is (832) 677-2248.

What is Sr Sam's specialty?

The primary specialty registered for this NPI is Custodial Care Facility with taxonomy code 311Z00000X.

When was this NPI record last updated?

The NPPES record for Sr Sam was last updated on September 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.