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).
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 |
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 |
Street Address |
600 WOODBRIDGE PKWY UNIT 2133 |
City | WYLIE |
State | TX |
Zip Code | 75098-7047 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851926182 | Ashley Michelle Akers | Counselor | 303 Tx-78, #100, Wylie, TX 75098 | 2020-03-06 |
1033742762 | Neuro Care LLC | Psychiatry & Neurology | 801 S Tx- 78, Wylie, TX 75098 | 2020-02-21 |
1720623515 | Dentalhub of Wylie | Clinic/Center | 3483 W.fm 544, Unit- 112, Wylie, TX 75098 | 2019-11-15 |
1780144147 | Rxcare Pharmacy, LLC | Pharmacy | 209 N Ballard Ave, Wylie, TX 75098 | 2019-03-21 |
1659830081 | Bv Dental, Pllc | Clinic/Center | 330 S. State Highway 78, Suite 200, Wylie, TX 75098 | 2019-03-15 |
1407329352 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 8516 Parker Rd E., Wylie, TX 75098 | 2019-01-03 |
1396215620 | Lilian Abagwe | Nurse Practitioner | 1108 Ann Dr, Wylie, Wylie, TX 75098 | 2018-11-29 |
1114408507 | Stephen Clayton Heath | Occupational Therapy Assistant | 721 Tx-78, Wylie, TX 75098 | 2018-08-24 |
1831677400 | Melody Lea Stoker | Physical Therapy Assistant | 3400 Mcmillen Rd Apt 1028, Wylie, TX 75098 | 2018-08-05 |
1619465234 | Olufemi Fadahunsi, Dds, PC | Dentist | 2810 W. Fm544, Suite 100, Wylie, TX 75098 | 2018-04-30 |
Find all providers in zip 75098 |
Taxonomy Code | 311ZA0620X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Custodial Care Facility |
Specialization | Adult Care Home |
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] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780081521 | New Day New Beginning | Custodial Care Facility | 2114 Central Park Dr, Wylie, TX 75098-7409 | 2014-11-21 |
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 |
Find all providers with the same taxonomy |
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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.