Organization
MOTHERLAND, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VICTOR NDANDO-NGOO (CEO/FOUNDER)
(713) 290-0001
Entity
Organization
Contact information
Practice address
4040 YALE ST, HOUSTON, TX 77018-5928
(713) 290-0001
(713) 290-0023
Mailing address
4040 YALE ST, HOUSTON, TX 77018-5928
(713) 290-0001
(713) 290-0023
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
540680
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00Z744
MEDICARE PART B
TX
05
—
199525002
—
TX
01
—
671926
MEDICARE PART A
TX
Enumeration date
05/02/2011
Last updated
05/02/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up