1HOUSE OF MICAH


Address: 600 Woodbridge Pkwy, Unit 2133, Wylie, TX 75098-7047
Phone: 4694787106

1HOUSE OF MICAH (NPI# 1104219096) 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) 1104219096
Entity Type Organization
Organization Name 1HOUSE OF MICAH
Practice Address 600 Woodbridge Pkwy
Unit 2133
Wylie
TX 75098-7047
Practice Telephone 4694787106
Mailing Telephone 4694787106
Enumeration Date 2015-03-17
Last Update Date 2015-03-17
Authorized Official Name JAMILA GILLIAM (OWNER)
Authorized Official Telephone 4694787106
Authorized Official Credential LBSW
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 104100000X Social Worker 56214 TX Behavioral Health & Social Service Providers
N 251C00000X Day Training, Developmentally Disabled Services Agencies
N 311Z00000X Custodial Care Facility Nursing & Custodial Care Facilities
N 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities
N 320700000X Residential Treatment Facility, Physical Disabilities Residential Treatment Facilities
N 320800000X Community Based Residential Treatment Facility, Mental Illness Residential Treatment Facilities
N 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities
Y 311ZA0620X Custodial Care Facility
Specialization: Adult Care Home
Nursing & Custodial Care Facilities

Office Location

Street Address 600 WOODBRIDGE PKWY
UNIT 2133
City WYLIE
State TX
Zip Code 75098-7047

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1396215620 Lilian Abagwe Nurse Practitioner 1108 Ann Dr, Wylie, Wylie, TX 75098 2018-11-29
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Taxonomy Information

Taxonomy Code 311ZA0620X
Grouping Nursing & Custodial Care Facilities
Classification Custodial Care Facility
Specialization Adult Care Home

Taxonomy Definition

A 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 a home like environment.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780081521 New Day New Beginning Custodial Care Facility 2114 Central Park Dr, Wylie, TX 75098-7409 2014-11-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1215538483 Alejandra Melendez Custodial Care Facility 160 Santa Paula Dr, El Paso, TX 79927-1466 2020-11-04
1962001750 Geov Divine Healthcare Services Inc. Custodial Care Facility 230 Darby Trails Dr, Sugar Land, TX 77479-5243 2020-10-22
1306444799 St Leo Healthcare Services Inc Custodial Care Facility 4338 Berry Bend Ln, Richmond, TX 77406-7224 2020-10-16
1609473065 Business Minds of Houston, LLC Custodial Care Facility 6102 Stonebury Ct, Sugar Land, TX 77479-5487 2020-10-07
1831704311 Holistic Group LLC Custodial Care Facility 510 Cassia Way, Arlington, TX 76002-4520 2020-09-11
1619581170 Unconditional Love Adult Family Homes Custodial Care Facility 3906 Waterproof, Killeen, TX 76549-4404 2020-09-02
1871105924 Beezway Inc Custodial Care Facility 6100 Verandas Cir Apt 837, Fort Worth, TX 76132-4166 2020-08-20
1972112266 Texas Pro Homecare Inc. Custodial Care Facility 2706 Seabiscuit Road, Celina, TX 75009 2020-07-23
1598374787 Anapa Healthcare Services LLC Custodial Care Facility 22430 Rustic Meadow Ct, Katy, TX 77494-8247 2020-07-23
1336766336 Living Faith Community Home, Inc. Custodial Care Facility 10735 Braes Forest Dr, Houston, TX 77071-1501 2020-06-25
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Competitor

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City WYLIE
Zip Code 75098

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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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