HOME AWAY FROM HOME PERSONAL CARE SERVICES, INC


Address: 639 Feamster Dr, Houston, TX 77022-2505
Phone: 7136952312

HOME AWAY FROM HOME PERSONAL CARE SERVICES, INC (NPI# 1083965016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083965016
Entity Type Organization
Organization Name HOME AWAY FROM HOME PERSONAL CARE SERVICES, INC
Practice Address 639 Feamster Dr
Houston
TX 77022-2505
Mailing Address 1623 Beaver Bend Rd
Houston
TX 77088-1806
Practice Telephone 7136952312
Mailing Telephone 2818020112
Enumeration Date 2012-10-01
Last Update Date 2012-10-01
Authorized Official Name MS. FRANCES ANN MCINTIRE (EXECUTIVE DIRECTOR)
Authorized Official Telephone 2818020112
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251S00000X Community/Behavioral Health Agencies
Y 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities

Office Location

Street Address 639 FEAMSTER DR
City HOUSTON
State TX
Zip Code 77022-2505

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Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

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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Competitor

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City HOUSTON
Zip Code 77022

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Dataset Information

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.

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