NPI age
12 years
Enumerated 2013-09-16
● Active Type 2 · Organization
SR Sam
SR Sam is 1 of 95 custodial care facility organizations in Texas.
Primary specialty
Custodial Care Facility
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Gordon
Owner
Last NPPES update
2013-09-16
Source: monthly bulk 2026-05
How this organization compares
Across 95 active custodial care facility providers in Texas.
NPI age
12 years
≈ at median (13 yr)
Practice locations
1
0 secondary on file
Subspecialties
1
In the 23% of peers with subspecialties
NPI lifetime · 2013 → 2026
2013-09Enumerated in NPPES
2013
2026
Where they practice
Primary practice location
502 N 5th St
La Porte, TX 775713310
Mailing address
502 N 5th St
La Porte, TX 775713310
Authorized official
Constance K Gordon
Owner
📞 8326772248
Specialties
-
Custodial Care Facility PrimaryA 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,...
-
Custodial Care FacilityA custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in...
Practice context
Single-site organization. Only one practice location on file.
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Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.