DEVELOPMENTAL DISABILITIES MANAGEMENT SERVICES OF HOUSTON, LLC (NPI# 1124425038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124425038 |
| Entity Type | Organization |
| Organization Name | DEVELOPMENTAL DISABILITIES MANAGEMENT SERVICES OF HOUSTON, LLC |
| Practice Address |
3602 Windsor Dr Deer Park TX 77536-6180 |
| Mailing Address |
4115 Galveston Rd Houston TX 77017-2518 |
| Practice Telephone | 7134752220 |
| Mailing Telephone | 7134752220 |
| Enumeration Date | 2014-11-21 |
| Last Update Date | 2014-11-21 |
| Authorized Official Name | WAYNE ADDISON (COO) |
| Authorized Official Telephone | 9016925555 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | TX | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | APPLIED FOR | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528465333 | Developmental Disabilities Management Services of Houston, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2601 Henderson Ln, Deer Park, TX 77536-4809 | 2014-11-21 |
| 1093112807 | Developmental Disabilities Management Services of Houston, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 913 E X St, Deer Park, TX 77536-3729 | 2014-11-21 |
| 1801293618 | Developmental Disabilities Management Services of Houston, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 9734 Shell Rock Rd, La Porte, TX 77571-4121 | 2014-11-21 |
| 1992102701 | Developmental Disabilities Management Services of Houston, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5126 Bosworth St, Houston, TX 77017-4002 | 2014-11-21 |
| 1811394620 | Developmental Disabilities Management Services of Houston, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 314 Ravenhead Dr, Houston, TX 77034-1524 | 2014-11-21 |
| 1902203714 | Developmental Disabilities Management Services of Houston, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2406 San Jacinto Dr, Pasadena, TX 77502-4403 | 2014-11-21 |
| 1437556248 | Developmental Disabilities Management Services of Houston, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5205 Meadow Place Dr, La Porte, TX 77571-2820 | 2014-11-21 |
| 1588061493 | Developmental Disabilities Management Services of Houston, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4314 Ponca St, Pasadena, TX 77504-3553 | 2014-11-21 |
| 1043617954 | Developmental Disabilities Management Services of Houston, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2012 Judy Ln, Pasadena, TX 77502-3702 | 2014-11-21 |
| 1053718965 | Developmental Disabilities Management Services of Houston, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2301 Olive Cir, Baytown, TX 77520-5775 | 2014-11-21 |
| Street Address |
3602 WINDSOR DR |
| City | DEER PARK |
| State | TX |
| Zip Code | 77536-6180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184747297 | Special Texas Homes, Inc. | Intermediate Care Facility, Mentally Retarded | 3602 Windsor Dr, Deer Park, TX 77536-6180 | 2007-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053965590 | Maria Conchita Fernandez Cuadrado | Physical Therapist | 3710 Center St Suite 102 Suite 102, Deer Park, TX 77536 | 2019-08-01 |
| 1013480961 | Eclipse Massage Therapy | Radiologic Technologist | 4321 Center St., Deer Park, TX 77536 | 2019-01-03 |
| 1952752750 | Denise Evelyn Bach | Nurse Practitioner | 5900 Highway 225 East, Shell Oil Company, Deer Park, TX 77536 | 2016-06-23 |
| 1194103739 | H-e-b, Lp | Clinical Medical Laboratory | 4701 East Blvd, Deer Park, TX 77536 | 2015-05-15 |
| 1053711408 | Leo Martinez I | Specialist/Technologist, Other | 602 Bayou Vista Dr, Deer Park, TX 77536 | 2014-09-03 |
| 1942588389 | Jacquetta Monae Davis | Dentist | 9001 Spencer Hwy Suite J, Deer Park, TX 77536 | 2011-08-03 |
| 1164745550 | Cenikor Foundation | Case Management | 4525 Glenwood Avenue, Deer Park, TX 77536 | 2010-03-12 |
| 1760670079 | Julia V Douglass Meadows | Counselor | 4650 Center Street, Deer Park, TX 77536 | 2007-10-11 |
| 1912035189 | Andrew Sparks Metz | Family Medicine | 2910 Center St., Deer Park, TX 77536 | 2007-03-01 |
| 1275690620 | Jack Quentin Cash Jr. | Dentist | 302 Center Street, Deer Park, TX 77536 | 2007-01-03 |
| Find all providers in zip 77536 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528465333 | Developmental Disabilities Management Services of Houston, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2601 Henderson Ln, Deer Park, TX 77536-4809 | 2014-11-21 |
| 1093112807 | Developmental Disabilities Management Services of Houston, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 913 E X St, Deer Park, TX 77536-3729 | 2014-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619581782 | Joyful Psalm | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1354 Ravenwood Ct, Crowley, TX 76036-3472 | 2020-09-04 |
| 1790394161 | Modern Vintage Residential Care, LLC. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4015 Alexis Tate Cir, Missouri City, TX 77459-5039 | 2020-07-30 |
| 1285253856 | 1 Care Premier Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 340 N Sam Houston Pkwy E Ste A247, Houston, TX 77060-3305 | 2020-04-13 |
| 1568093888 | James Micah Howard | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 11911 Lakewood Trl, Tomball, TX 77377-8563 | 2020-01-27 |
| 1518507110 | Gems Residence LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5810 Liverpool St, Aubrey, TX 76227-1909 | 2020-01-10 |
| 1366081812 | Abundant Care Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1100 Maxfield St, Waco, TX 76705-2967 | 2020-01-02 |
| 1306487426 | Fort Healthcare LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5833 Oakbend Trail, #200, Fort Worth, TX 76132-3900 | 2019-09-30 |
| 1144877481 | Boniswa Portia Maduna | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 8000 Cook Rd Apt 1109, Houston, TX 77072-3939 | 2019-08-21 |
| 1871148171 | Kenneth Allen | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 135 E Menefee St, Lufkin, TX 75901-4701 | 2019-08-05 |
| 1124673553 | 1st A & M Healthcare Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 504 Spicewood Dr, Desoto, TX 75115-1485 | 2019-08-02 |
| 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.