SOMMERVILLE YOUNG ADULT COMMUNITY LLC (NPI# 1144433269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144433269 |
| Entity Type | Organization |
| Organization Name | SOMMERVILLE YOUNG ADULT COMMUNITY LLC |
| Practice Address |
650 Anthony Rd Cleveland TX 77328-5497 |
| Mailing Address |
1 Sugar Creek Center Blvd Suite 965 Sugar Land TX 77478-3560 |
| Practice Telephone | 2815924600 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ANTHONY GERACI (PRESIDENT) |
| Authorized Official Telephone | 2813131908 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | TX | Residential Treatment Facilities |
| Street Address |
650 ANTHONY RD |
| City | CLEVELAND |
| State | TX |
| Zip Code | 77328-5497 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336314038 | Jimmie L Smith | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 18350 E Highway 105 Ste A, Cleveland, TX 77328-2440 | 2008-04-24 |
| 1073829479 | Tricare Hospice, LLC | Hospice Care, Community Based | 25673 Highway 105 W, Cleveland, TX 77328-2973 | 2010-08-23 |
| 1588122873 | Abelina Campos | Licensed Vocational Nurse | 420 County Road 3991, Cleveland, TX 77328-3254 | 2019-03-06 |
| 1740685726 | Meridith Silcox | Behavioral Analyst | 213 County Road 3890, Cleveland, TX 77328-3303 | 2014-11-03 |
| 1841776788 | Michaela Dee Moreau | Registered Nurse | 10977 Alder, Cleveland, TX 77328-4937 | 2018-07-13 |
| 1982092771 | Julya Jahos | Emergency Medical Technician, Basic | 20451 Old Highway 105, Cleveland, TX 77328-6421 | 2014-12-31 |
| 1316592421 | Kimberly Ann Stripling | Registered Nurse | 25960 Hickory Knoll Ct, Cleveland, TX 77328-6981 | 2019-08-06 |
| 1851749667 | Clarissa Prieto-ayala | Optometrist | 11670 Pinemont Rd, Cleveland, TX 77328-7237 | 2016-06-02 |
| 1376152413 | Ayala Vista Eyecare Pllc | Optometrist | 11670 Pinemont Rd, Cleveland, TX 77328-7237 | 2020-07-24 |
| 1295219723 | Roxanne Babick | Registered Nurse | 808 County Road 379, Cleveland, TX 77328-7352 | 2018-09-20 |
| Find all providers in zip 77328 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366973414 | Frontline Service | Community Based Residential Treatment Facility, Mental Illness | 8315 Detroit Ave, Cleveland, OH 44102-1805 | 2017-03-21 |
| 1487922860 | Cleveland Christian Home | Community Based Residential Treatment Facility, Mental Illness | 11401 Lorain Ave, Cleveland, OH 44111-5428 | 2011-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538778410 | Inspired Community Living | Community Based Residential Treatment Facility, Mental Illness | 1108 Millspaugh St, San Angelo, TX 76901-2342 | 2020-07-27 |
| 1265058143 | Bam House | Community Based Residential Treatment Facility, Mental Illness | 9710 Military Pkwy Apt 136, Dallas, TX 75227-4801 | 2020-06-17 |
| 1699394320 | Thaddeus Gibson | Community Based Residential Treatment Facility, Mental Illness | 15638 Western Skies Dr, Houston, TX 77086-1169 | 2020-04-13 |
| 1346875705 | Grace Caring Angels Inc. | Community Based Residential Treatment Facility, Mental Illness | 11515 Chariot Dr, Stafford, TX 77477-1214 | 2020-03-05 |
| 1992340541 | Abegail Human Services | Community Based Residential Treatment Facility, Mental Illness | 230 Hackney Dr, Waxahachie, TX 75165-1202 | 2019-11-07 |
| 1073098075 | Expert Living Services Inc | Community Based Residential Treatment Facility, Mental Illness | 17014 Blue Mist Dr, Sugar Land, TX 77498-1957 | 2018-09-26 |
| 1760961734 | Sharion Lenese White | Community Based Residential Treatment Facility, Mental Illness | 12514 Berry Laurel Lane, Houston, TX 77014 | 2018-08-10 |
| 1356837934 | X'zavier O Payne | Community Based Residential Treatment Facility, Mental Illness | 420 N State Highway 360 Apt 2214, Mansfield, TX 76063-8716 | 2018-07-06 |
| 1972003192 | Ateam & Associates, LLC | Community Based Residential Treatment Facility, Mental Illness | 7 Supiro Dr, Manvel, TX 77578-3378 | 2018-02-14 |
| 1891234134 | Graceland Personal Care Homes, Inc | Community Based Residential Treatment Facility, Mental Illness | 2625 County Road 302, Carthage, TX 75633-4103 | 2017-02-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SOMMERVILLE YOUNG ADULT COMMUNITY LLC.
| 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.