JANUETTE LONDON


Address: 501 E Young St, Longview, TX 75602-1829
Phone: 9032208481

JANUETTE LONDON (NPI# 1619153905) 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) 1619153905
Entity Type Individual
Full Name JANUETTE LONDON
Practice Address 501 E Young St
Longview
TX 75602-1829
Mailing Address Po Box 196
Judson
TX 75660-0196
Practice Telephone 9032208481
Practice Fax Number 9037581836
Mailing Telephone 9032208481
Mailing Fax Number 3097581836
Enumeration Date 2008-01-16
Last Update Date 2008-01-16
Gender Code F
Is Sole Proprietor Y

Taxonomy

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

Office Location

Street Address 501 E YOUNG ST
City LONGVIEW
State TX
Zip Code 75602-1829

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083150569 Mcet-longview Clinic/Center 505 North Sixth Street, Longview, TX 75602 2017-01-09
1962561597 Robert Lee Harper Dentist 1002 So M L King Jr Blvd, Longview, TX 75602 2006-12-08
1033202700 Hervey & Bethard Inc. Durable Medical Equipment & Medical Supplies 1900 S. High St., Longview, TX 75602 2006-10-02
1023426665 Longview Wellness Center, Inc Clinic/Center 2131 S Mobberly Ave, Longview, TX 75602 2014-07-28
1063748796 Jeffery Michael Stowers Pharmacist 1900 S High St, Longview, TX 75602 2009-10-31
1326541368 Tonie Elaine Bryant Licensed Vocational Nurse 1006 Flanagan Dr, Longview, TX 75602-1013 2018-03-15
1285145839 Maria Tran Specialist/Technologist 16 Covington Dr, Longview, TX 75602-1071 2017-10-21
1639635444 G and T Young At Heart Counselor 1012 E Cotton St, Longview, TX 75602-1322 2019-02-17
1982020038 Julie A Dollison Perfusionist 301 S Club Dr, Longview, TX 75602-1511 2014-03-13
1881009231 Brandi Mccracken Specialist/Technologist, Other 301 S Club Dr, Longview, TX 75602-1511 2014-06-24
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Taxonomy Information

Taxonomy Code 320600000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720454929 House of Angel's Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 2508 Balsam St, Longview, TX 75605-2312 2015-08-11
1538409826 Life Works Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 906 New York St, Longview, WA 98632-4132 2013-02-22
1730464611 Mary Ann Davis Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 803 Oakdale Ave, Longview, TX 75602-2049 2011-10-11
1467687475 Kyndal Kare Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 794 Pegues Rd, Longview, TX 75603-6616 2009-05-19
1801962295 Pace Opportunity Centers, Inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1101 Jaycee Dr, Longview, TX 75604-5802 2006-11-28

Providers in the same taxonomy and state

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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
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Competitor

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City LONGVIEW
Zip Code 75602

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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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