JUBILEE GROUP HOMES, INC. (NPI# 1083817191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083817191 |
| Entity Type | Organization |
| Organization Name | JUBILEE GROUP HOMES, INC. |
| Practice Address |
12054 Spring Grove Dr Houston TX 77099-3202 |
| Practice Telephone | 2815618033 |
| Practice Fax Number | 2815618022 |
| Mailing Telephone | 2815618033 |
| Mailing Fax Number | 2815618022 |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. CHRIS C. ULASI (CFO & DIRECTOR) |
| Authorized Official Telephone | 2815618033 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | TX | Residential Treatment Facilities |
| Street Address |
12054 SPRING GROVE DR |
| City | HOUSTON |
| State | TX |
| Zip Code | 77099-3202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396361705 | Solange Ndem | Registered Nurse | 12054 Spring Grove Dr, Houston, TX 77099-3202 | 2020-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417566688 | Olajumoke Foluke Ajayi | Home Health | 9555 West Sam Houston Pwky S., 410, Houston, TX 77099 | 2020-07-23 |
| 1215580998 | Unity Adult Day Care | Health Maintenance Organization | 11522 South Drive, Houston, TX 77099 | 2019-07-22 |
| 1700340122 | Goshen Living Inc | Home Health | 11735 South Glen Drive #1003, Houston, TX 77099 | 2019-01-30 |
| 1306300140 | Nicanora Celsa Cuellar | Social Worker | 9810 West Sam Houston Parkway South, Suite 200, Houston, TX 77099 | 2019-01-25 |
| 1396223913 | Goshen Living Inc | Home Health | 11735 South Glen Drive, 1003, Houston, TX 77099 | 2018-08-06 |
| 1043724768 | Tj Brothers Pharmacy | Pharmacy | 10910 W. Bellfort Ave, Houston, TX 77099 | 2017-11-17 |
| 1427599042 | Patricio Gutierrez Magpali Jr. | Physical Therapist | 12030 Spring Grove Drive, Houston, TX 77099 | 2017-03-15 |
| 1790157709 | Rosemary Ngozi Ofili | Nurse Practitioner | 9644 Court Lane Drive, West Family Clinic, Houston, TX 77099 | 2015-10-29 |
| 1649670795 | Rochelle Ann Wright | Preferred Provider Organization | 11045 Lands Walk, 102, Houston, TX 77099 | 2014-08-26 |
| 1558792838 | Speaking Out Loud Speech Therapy Services, Pllc | Speech-Language Pathologist | 10960 Stancliff Road, Houston, TX 77099 | 2013-12-11 |
| Find all providers in zip 77099 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699394320 | Thaddeus Gibson | Community Based Residential Treatment Facility, Mental Illness | 15638 Western Skies Dr, Houston, TX 77086-1169 | 2020-04-13 |
| 1760961734 | Sharion Lenese White | Community Based Residential Treatment Facility, Mental Illness | 12514 Berry Laurel Lane, Houston, TX 77014 | 2018-08-10 |
| 1427591494 | Mia Davis | Community Based Residential Treatment Facility, Mental Illness | 5903 Grace Ln, Houston, TX 77021-3424 | 2016-11-23 |
| 1134675598 | Mcr Home Sweet Home LLC | Community Based Residential Treatment Facility, Mental Illness | 7725 Pardee St, Houston, TX 77028-5235 | 2016-08-26 |
| 1760864789 | Leslie Turner | Community Based Residential Treatment Facility, Mental Illness | 10910 Bridlepark Cir, Houston, TX 77016-1890 | 2015-06-25 |
| 1093118069 | Dream Girls | Community Based Residential Treatment Facility, Mental Illness | 9234 Woodlyn Rd, Houston, TX 77078-3929 | 2014-10-03 |
| 1790191922 | Johnyale Mcdaniel | Community Based Residential Treatment Facility, Mental Illness | 2626 S Loop W Ste 650a, Houston, TX 77054-5628 | 2014-07-09 |
| 1225455199 | Allen's Residential Services | Community Based Residential Treatment Facility, Mental Illness | 5902 Lornia Lane, Houston, TX 77016 | 2014-03-27 |
| 1548511678 | Rcj Healthcare Services Inc | Community Based Residential Treatment Facility, Mental Illness | 12502 Riva Ridge Ln, Houston, TX 77071-3223 | 2012-09-28 |
| 1962778936 | Hattie M Gamble | Community Based Residential Treatment Facility, Mental Illness | 5823 Mount Houston Rd, Houston, TX 77050-5429 | 2012-03-23 |
| Find all providers in HOUSTON | ||||
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| 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.