NOAH'S GLEN RESIDENTIAL TREATMENT CENTER (NPI# 1679638639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679638639 |
| Entity Type | Organization |
| Organization Name | NOAH'S GLEN RESIDENTIAL TREATMENT CENTER |
| Practice Address |
2121 Mansfield St Houston TX 77091-4033 |
| Practice Telephone | 7136839144 |
| Practice Fax Number | 7136839143 |
| Mailing Telephone | 7136839144 |
| Mailing Fax Number | 7136839143 |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DUDLEY T FARENTHOLD (CEO) |
| Authorized Official Telephone | 7136839144 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
2362A | TX | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | DSHS | 2362A | 01 |
| Street Address |
2121 MANSFIELD ST |
| City | HOUSTON |
| State | TX |
| Zip Code | 77091-4033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750917423 | Leggett Prosthetics LLC | Prosthetic/Orthotic Supplier | 1019 Homer St, Houston, TX 77091 | 2020-03-13 |
| 1124653688 | Convenient Urgent Care Pllc | Clinic/Center | 413 W Parker Rd, Suite B, Houston, TX 77091 | 2020-03-05 |
| 1033605977 | Michelle Ting Yu | Registered Nurse | 5207 Brinkman Ct, Houston, TX 77091 | 2018-07-03 |
| 1427575075 | Arden David Breaux II | Assisted Living Facility | 898 1/2 Granville Drive, Houston, TX 77091 | 2017-08-24 |
| 1366873903 | Doctors Anesthesia Tidwell Pllc | Anesthesiology | 5010 West Tidwell Rd, Houston, TX 77091 | 2013-12-09 |
| 1750710075 | Filling The Gap Adult Day Care LLC | Clinic/Center | 6734 Antoine Dr, Houston, TX 77091 | 2013-11-07 |
| 1780027631 | An Angel's Touch & More | Foster Care Agency | 6805 Apollo St., Houston, TX 77091 | 2013-04-10 |
| 1053666990 | Lucas Ego Egebe | Nurse Practitioner | 6846 Antoine Dr, Houston, TX 77091 | 2012-07-17 |
| 1689979239 | Shirley Ann Riley | Counselor | 5414 Goldspire, Houston, TX 77091 | 2011-01-12 |
| 1720317233 | Nhan V Nguyen | Pharmacist | 6926 Antoine Dr., Houston, TX 77091 | 2009-12-11 |
| Find all providers in zip 77091 | ||||
| Taxonomy Code | 3245S0500X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| Specialization | Substance Abuse Treatment, Children |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316322498 | Lt Medical Transport, LLC | Substance Abuse Rehabilitation Facility | 2516 Vaughn St, Houston, TX 77093-8608 | 2015-07-30 |
| 1225362338 | Shamar Hope Haven Residential Treatment Center | Substance Abuse Rehabilitation Facility | 2719 Truxillo St, Houston, TX 77004-5455 | 2009-09-22 |
| 1184892861 | Santus Healing Hands Adolescent Treatment Center | Substance Abuse Rehabilitation Facility | 14402 Minetta St, Houston, TX 77035-6522 | 2008-02-14 |
| 1982751087 | Odyssey House Texas Inc | Substance Abuse Rehabilitation Facility | 5629 Grapevine St, Houston, TX 77085-3816 | 2007-01-04 |
| 1720017460 | S & S Counseling Services and Associates | Substance Abuse Rehabilitation Facility | 9000 W Bellfort St Ste 250, Houston, TX 77031-2460 | 2006-07-03 |
| 1356626709 | Clausell Stokes Jr., Lcdc | Substance Abuse Rehabilitation Facility | 9896 Bissonnet St, Suite # 465, Houston, TX 77036-8104 | 2011-10-17 |
| 1811132863 | Every Kid Count Inc | Substance Abuse Rehabilitation Facility | 8120 Corinth St, Houston, TX 77051-1524 | 2008-12-04 |
| 1750571550 | Enhancement Education & Counseling Center | Substance Abuse Rehabilitation Facility | 15531 Kuykendahl Rd, 300, Houston, TX 77090-3645 | 2007-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275093841 | Grace Outreach | Substance Abuse Rehabilitation Facility | 3225 Turtle Creek Blvd, Dallas, TX 75219-5409 | 2019-03-21 |
| 1770086290 | New Beginnings Substance Abuse Services, Inc | Substance Abuse Rehabilitation Facility | 200 E Interstate 2 Ste O, Pharr, TX 78577-6506 | 2018-03-11 |
| 1013397892 | Idea Youth Success Center | Substance Abuse Rehabilitation Facility | 1518 Vaughn Blvd, Fort Worth, TX 76105-2307 | 2015-06-05 |
| 1386822542 | Added Incentive | Substance Abuse Rehabilitation Facility | 7146 Highway 60, Wallis, TX 77485-9507 | 2008-02-08 |
| 1598944902 | Law Academy, Inc. | Substance Abuse Rehabilitation Facility | 1909 Jefferson Dr, Port Arthur, TX 77642-1845 | 2007-11-01 |
| 1760661946 | Baxmart LLC | Substance Abuse Rehabilitation Facility | 2245 N Main St, Suite 2, Pearland, TX 77581-4144 | 2007-10-24 |
| 1578768776 | Groth Recovery Alliance | Substance Abuse Rehabilitation Facility | 466 County Road 2119, Pittsburg, TX 75686-3686 | 2007-06-18 |
| 1669693891 | Sandstone Health Care, Inc | Substance Abuse Rehabilitation Facility | 204 South Casa, Pharr, TX 78577 | 2007-05-02 |
| 1548303209 | Choices Adolescent Treatment Ctr | Substance Abuse Rehabilitation Facility | 4521 Karnack Hwy, Marshall, TX 75672-8734 | 2007-02-14 |
| 1962559252 | Shoreline, Inc. | Substance Abuse Rehabilitation Facility | 1220 Gregory St., Taft, TX 78390-3044 | 2007-01-05 |
| 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.