FRESH OUTPOURING OUTREACH CENTER (NPI# 1255820379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255820379 |
| Entity Type | Organization |
| Organization Name | FRESH OUTPOURING OUTREACH CENTER |
| Practice Address |
186 Sandpebble Dr The Woodlands TX 77381-3225 |
| Practice Telephone | 8327758463 |
| Mailing Telephone | 8327758463 |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2018-05-03 |
| Authorized Official Name | DR. FRED OMORUYI (DIRECTOR) |
| Authorized Official Telephone | 8327758463 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
Respite Care Facility | ||
| N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities | ||
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Street Address |
186 SANDPEBBLE DR |
| City | THE WOODLANDS |
| State | TX |
| Zip Code | 77381-3225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073128856 | Y2k Services, LLC | Non-emergency Medical Transport (VAN) | 74 Natures Harp Ct, Spring, TX 77381 | 2020-09-09 |
| 1073173274 | Woodlands Oral & Maxillofacial Surgery | Dentist | 4850 W. Panther Creek Drive Suite 106, The Woodlands, TX 77381 | 2019-06-19 |
| 1740793595 | Brazo Pharmacy LLC | Pharmacy | 2700 Technology Forest Blvd Ste 200, The Woodlands, TX 77381 | 2017-11-14 |
| 1275045288 | Marney Vitthal | Speech-Language Pathologist | 2 Cranberry Bend, Spring, TX 77381 | 2017-10-31 |
| 1205293453 | Add Health and Wellness of The Woodlands, LLC | Counselor | 2700 Research Forest Dr #130, The Woodlands, TX 77381 | 2016-01-19 |
| 1669851879 | Supplemental Healthcare Inc. | Rehabilitation Unit | 333 Holly Creek Ct Apt 1708, The Woodlands, TX 77381 | 2015-05-20 |
| 1932526894 | Hung Van Doan | Acupuncturist | 9001 Forest Crossing Drive, Suite F, Houston, TX 77381 | 2014-03-27 |
| 1215358726 | Dustin Etemadi | Chiropractor | 4810 W. Panther Creek Dr., Suite 105, The Woodlands, TX 77381 | 2013-12-31 |
| 1194075697 | The Woodlands Eating Disorders Center | Psychologist | 4840 W. Panther Creek Dr., Ste. 212, The Woodlands, TX 77381 | 2012-09-12 |
| 1386992980 | Proteome Diagnostics, LLC | Clinical Medical Laboratory | 79 N. Misty Morning Trace, Spring, TX 77381 | 2012-08-29 |
| Find all providers in zip 77381 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
| City | THE WOODLANDS |
| Zip Code | 77381 |
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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.