ANGELS LIFE SKILLS CENTER, INC (NPI# 1073172623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073172623 |
| Entity Type | Organization |
| Organization Name | ANGELS LIFE SKILLS CENTER, INC |
| Practice Address |
20829 Kingsland Blvd Ste D Katy TX 77450-2713 |
| Practice Telephone | 2817174870 |
| Practice Fax Number | 2817174920 |
| Mailing Telephone | 2817174870 |
| Mailing Fax Number | 2817174920 |
| Enumeration Date | 2019-06-07 |
| Last Update Date | 2019-06-07 |
| Authorized Official Name | PETER SAYRE ODELL (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2817174870 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Street Address |
20829 KINGSLAND BLVD STE D |
| City | KATY |
| State | TX |
| Zip Code | 77450-2713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639652555 | O'brien Counseling Services, Inc. | Counselor | 21368 Provincial Blvd., Katy, TX 77450 | 2018-09-07 |
| 1306327275 | Renova Wellness Clinic | Counselor | 468 Park Grove Ln, Katy, TX 77450 | 2018-08-28 |
| 1639661556 | Health Care Senior Pllc | Family Medicine | 21702 Balsam Brook Ln, Katy, TX 77450 | 2018-06-06 |
| 1679081012 | Mason Sleep & Diagnostics | Clinic/Center | 462 S Mason Rd, Suite 400, Katy, TX 77450 | 2018-01-19 |
| 1508379900 | Mason Diagnostic Imaging | Clinic/Center | 462 S Mason Road, Suite 400, Katy, TX 77450 | 2017-11-08 |
| 1376055384 | Stella Dental Vk Pllc | Dentist | 21040 Highland Knolls Drive, Suite 100, Katy, TX 77450 | 2017-10-31 |
| 1598286031 | Ammon Zukeran Dc Inc | Chiropractor | 416 Park Grove Ln, Katy, TX 77450 | 2017-07-06 |
| 1588191571 | U S Anesthesia Partners of Texas, Pa | Anesthesiology | 777 S Fry Rd Ste 208, Katy, TX 77450 | 2017-05-22 |
| 1629527395 | Christine Margaret Gholston | Counselor | 472 Park Grove, Katy, TX 77450 | 2016-09-23 |
| 1598213928 | Kristina Reyes | Counselor | 633 E. Fernhust Dr., Ste 501, Katy, TX 77450 | 2016-09-14 |
| Find all providers in zip 77450 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558987198 | Amlad LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 20622 Ginger Hill Ln, Katy, TX 77449-1406 | 2020-06-19 |
| 1922663178 | Deloris N Ibe | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4519 Capella Riviera Dr, Katy, TX 77493-3321 | 2019-05-03 |
| 1538621156 | Agape Individuality Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19130 Cotton Gin Dr, Katy, TX 77449-5249 | 2019-04-02 |
| 1629536305 | Heavenly Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2403 Village Stone Ct, Katy, TX 77493-1476 | 2019-03-12 |
| 1144788555 | Alice Lane | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6855 S Mason Rd Apt 1108, Katy, TX 77450-1233 | 2019-03-05 |
| 1891211181 | Authentic Adorable Community LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2707 Defoe Dr, Katy, TX 77449 | 2017-08-17 |
| 1164851903 | Emerging Medical Solutions Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 24907 Spring Aspen Ct, Katy, TX 77494-6439 | 2013-11-02 |
| 1801138086 | Rhema Living Center Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6707 Wide Creek Dr, Katy, TX 77449-6373 | 2013-03-26 |
| 1942540331 | Jovic Care Group Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 24906 Lodenstone Ct, Katy, TX 77494 | 2013-02-21 |
| 1639436678 | Institute of Dynamic Behavior | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3119 Mulberry Ranch Drive, Katy, TX 77494-3620 | 2012-04-16 |
| Find all providers in KATY | ||||
Please comment or provide details below to improve the information on ANGELS LIFE SKILLS CENTER, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.