MINGO'S PERSONAL CARE HOME


Address: 10538 Bainbridge St, Houston, TX 77016-3008
Phone: 7136314049

MINGO'S PERSONAL CARE HOME (NPI# 1417204587) 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) 1417204587
Entity Type Organization
Organization Name MINGO'S PERSONAL CARE HOME
Practice Address 10538 Bainbridge St
Houston
TX 77016-3008
Practice Telephone 7136314049
Practice Fax Number 7136312906
Mailing Telephone 7136314049
Mailing Fax Number 7136312906
Enumeration Date 2012-08-08
Last Update Date 2012-08-08
Authorized Official Name MRS. DEANNA RACHELLE MINGO (MANAGER)
Authorized Official Telephone 7136314049
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0850X Clinic/Center
Specialization: Adult Mental Health
103505 TX Ambulatory Health Care Facilities

Office Location

Street Address 10538 BAINBRIDGE ST
City HOUSTON
State TX
Zip Code 77016-3008

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Taxonomy Information

Taxonomy Code 261QM0850X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Notes: [7/1/2003: new]

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Competitor

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City HOUSTON
Zip Code 77016

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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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