QUALITY LIFE HCS, LLC (NPI# 1083843528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083843528 |
Entity Type | Organization |
Organization Name | QUALITY LIFE HCS, LLC |
Practice Address |
4314 Yoakum Blvd Houston TX 77006-5818 |
Practice Telephone | 7138500049 |
Practice Fax Number | 7138500036 |
Mailing Telephone | 7138500049 |
Mailing Fax Number | 7138500036 |
Enumeration Date | 2009-07-06 |
Last Update Date | 2012-05-10 |
Authorized Official Name | DR. LEO J BORRELL (OWNER/PRESIDENT) |
Authorized Official Telephone | 7138500049 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
N | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
Behavioral Health & Social Service Providers | ||
N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians | ||
N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 287815901 | 05 |
Street Address |
4314 YOAKUM BLVD |
City | HOUSTON |
State | TX |
Zip Code | 77006-5818 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851389118 | Linda Ann Odom | Psychiatry & Neurology | 4314 Yoakum Blvd, Houston, TX 77006-5818 | 2005-10-11 |
1184156309 | Katherine E. Brannan | Counselor | 4314 Yoakum Blvd, Houston, TX 77006-5864 | 2017-03-28 |
1538529862 | Jana Tran Phd Pllc | Psychologist | 4314 Yoakum Blvd, Houston, TX 77006-5864 | 2016-02-29 |
1225429855 | Dana Lloyd | Counselor | 4314 Yoakum Blvd, Houston, TX 77006-5864 | 2015-02-18 |
1336530302 | The Growing Space, Pllc | Clinic/Center | 4314 Yoakum Blvd, Suite 6, Houston, TX 77006-5864 | 2015-02-12 |
1235534694 | Jessie King | Physician Assistant | 4314 Yoakum Blvd, Houston, TX 77006-5864 | 2014-10-28 |
1215331434 | Abigail Slagel | Counselor | 4314 Yoakum Blvd, Houston, TX 77006-5864 | 2014-10-17 |
1568862548 | Demetrica Ellen Dement | Counselor | 4314 Yoakum Blvd, Houston, TX 77006-5864 | 2014-08-27 |
1114336658 | Ann Grace Thomas | Nurse Practitioner | 4314 Yoakum Blvd, Houston, TX 77006-5864 | 2014-08-08 |
1265849715 | Brandon Lucio | Counselor | 4314 Yoakum Blvd, Houston, TX 77006-5864 | 2014-07-16 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407402555 | Houston Therapy for Girls Pllc | Marriage & Family Therapist | 4200 Montrose Blvd., Suite 510, Houston, TX 77006 | 2019-08-14 |
1124587340 | Mai Spickelmier-engel | Counselor | 1607 Fairview St, Houston, TX 77006 | 2019-03-18 |
1104393271 | Stanley Barron Mcdonald | Massage Therapist | 1617 Westheimer Road, Houston, TX 77006 | 2018-10-26 |
1336630003 | Adl Caregivers LLC | In Home Supportive Care | 4412 Stanford St Unit 4, Houston, TX 77006 | 2018-05-29 |
1306204599 | Sean Adam Mcconathy | Chiropractor | 1421 Branard, Houston, TX 77006 | 2016-02-03 |
1346652138 | Visionary Diagnostics LLC | Clinic/Center | 2450 Louisiana St Suite 400 #511, Houston, TX 77006 | 2014-05-28 |
1053668483 | Lauren Christine Saporito | Counselor | 4200 Montrose Blvd., Suite 510, Houston, TX 77006 | 2012-08-03 |
1124386800 | Elissa Jamie Bauer | Counselor | 4203 Montrose Blvd Ste 310, Houston, TX 77006 | 2012-05-01 |
1881976124 | Millicent Collins-lott | Pharmacist | 3317 Montrose, Houston, TX 77006 | 2011-09-13 |
1144515529 | Emily Rachael Anderson | Psychologist | 1401 Castle Court, Houston, TX 77006 | 2011-06-14 |
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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] |
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---|---|---|---|---|
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1265047534 | Compassion Structured Living Center LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 13578 San Martin Ln, Houston, TX 77083-5135 | 2020-09-13 |
1871104299 | Shamira Ferguson | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10901 Mist Ln Apt 5104, Houston, TX 77070-4488 | 2020-08-10 |
1205444015 | Homestays By Brown Little & Gurl LLC. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2017 Gillette St, Houston, TX 77006-1531 | 2020-07-17 |
1184258923 | Bamal Solutions LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 13939 Westheimer Rd, Houston, TX 77077-5358 | 2020-03-02 |
1063046712 | Oasis Hcs and Txhml Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7930 Corporate Dr Apt 14, Houston, TX 77036-6533 | 2020-03-02 |
1942833850 | Big Trinity Cargo LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7015 Pouter Dr, Houston, TX 77083-3530 | 2020-02-19 |
1285264721 | A1 Healthcare LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10039 Bissonnet St Ste 219, Houston, TX 77036-7852 | 2020-01-23 |
1881237550 | Ark Infinitude | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2150 Bentworth Dr Apt 461, Houston, TX 77077-6223 | 2019-10-24 |
1821645532 | New Hope Hcs and Txhml Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6260 Westpark Dr Ste 230, Houston, TX 77057-7411 | 2019-08-19 |
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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.