THADDEUS GIBSON (NPI# 1699394320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699394320 |
Entity Type | Individual |
Full Name | THADDEUS GIBSON |
Practice Address |
15638 Western Skies Dr Houston TX 77086-1169 |
Practice Telephone | 8327563681 |
Mailing Telephone | 8327563681 |
Enumeration Date | 2020-04-13 |
Last Update Date | 2020-04-13 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities | ||
N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities | ||
N | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities | ||
N | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
Respite Care Facility |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619587680 | Thaddeus Rashad Gibson | Case Manager/Care Coordinator | 1336 E Main St, Columbus, OH 43205-2081 | 2020-08-05 |
1922666395 | Thaddeus Gibson | Physical Therapist | 2100 Union Rd, West Seneca, NY 14224-1400 | 2019-05-31 |
Street Address |
15638 WESTERN SKIES DR |
City | HOUSTON |
State | TX |
Zip Code | 77086-1169 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871084004 | Millicent Andrea Dallas | Driver | 10830 Heather Hill Dr, Houston, TX 77086 | 2018-05-23 |
1710480983 | Llj Pharmacy | Pharmacy | 13420 Tomball Pkwy Ste K, Houston, TX 77086 | 2018-03-14 |
1588170351 | Robert Gopie | Dentist | Brident Dental, 13327 Tomball Parkway, Houston, TX 77086 | 2017-12-15 |
1265952667 | Margaret M Wilson | Speech-Language Pathologist | 4100 N Sam Houston Parkway W Suite 240, Houston, TX 77086 | 2017-06-27 |
1376904920 | Houston Compounding Pharmacy Inc | Pharmacy | 14002 Tomball Pkwy, #a, Houston, TX 77086 | 2016-03-10 |
1629456934 | Ina Healthcare Services | Non-emergency Medical Transport (VAN) | 10810 Coral Stone Road, Houston, TX 77086 | 2015-05-07 |
1831582659 | Christine Kim Pinyopusarerk | Dentist | 11740 State Highway 249 Ste A, Houston, TX 77086 | 2015-03-18 |
1790121390 | Antoine Health Clinic Inc. | Chiropractor | 11003 Antoine Dr. Ste.m, Houston, TX 77086 | 2013-05-22 |
1336583772 | Harshil Patel | Dentist | 13327 Tomball Parkway, Houston, TX 77086 | 2013-04-27 |
1316297583 | Abundantchanges | Community/Behavioral Health | 100002 Port Angeles Drive, Houston, TX 77086 | 2012-09-14 |
Find all providers in zip 77086 |
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 |
---|---|---|---|---|
1760961734 | Sharion Lenese White | Community Based Residential Treatment Facility, Mental Illness | 12514 Berry Laurel Lane, Houston, TX 77014 | 2018-08-10 |
1427591494 | Mia Davis | Community Based Residential Treatment Facility, Mental Illness | 5903 Grace Ln, Houston, TX 77021-3424 | 2016-11-23 |
1134675598 | Mcr Home Sweet Home LLC | Community Based Residential Treatment Facility, Mental Illness | 7725 Pardee St, Houston, TX 77028-5235 | 2016-08-26 |
1760864789 | Leslie Turner | Community Based Residential Treatment Facility, Mental Illness | 10910 Bridlepark Cir, Houston, TX 77016-1890 | 2015-06-25 |
1093118069 | Dream Girls | Community Based Residential Treatment Facility, Mental Illness | 9234 Woodlyn Rd, Houston, TX 77078-3929 | 2014-10-03 |
1790191922 | Johnyale Mcdaniel | Community Based Residential Treatment Facility, Mental Illness | 2626 S Loop W Ste 650a, Houston, TX 77054-5628 | 2014-07-09 |
1225455199 | Allen's Residential Services | Community Based Residential Treatment Facility, Mental Illness | 5902 Lornia Lane, Houston, TX 77016 | 2014-03-27 |
1548511678 | Rcj Healthcare Services Inc | Community Based Residential Treatment Facility, Mental Illness | 12502 Riva Ridge Ln, Houston, TX 77071-3223 | 2012-09-28 |
1962778936 | Hattie M Gamble | Community Based Residential Treatment Facility, Mental Illness | 5823 Mount Houston Rd, Houston, TX 77050-5429 | 2012-03-23 |
1225303662 | C'est La Vie,inc | Community Based Residential Treatment Facility, Mental Illness | 6666 Harwin Dr Ste 345, Houston, TX 77036-2261 | 2012-03-19 |
Find all providers in HOUSTON |
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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.