XTREME HEALTHARE HOUSTON (NPI# 1740593714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740593714 |
| Entity Type | Organization |
| Organization Name | XTREME HEALTHARE HOUSTON |
| Practice Address |
12239 Fondren Rd 165 Houston TX 77035 |
| Practice Telephone | 8328963860 |
| Mailing Telephone | 8328963860 |
| Enumeration Date | 2010-07-20 |
| Last Update Date | 2010-07-20 |
| Authorized Official Name | WILLIAM B HARRISON (OWNER) |
| Authorized Official Telephone | 8328963860 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | STUDENT | 390200000X | 01 |
| Street Address |
12239 FONDREN RD 165 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366092744 | Joyce Spigner | Technician | 5570 Gasmer #161, Houston, TX 77035 | 2019-09-17 |
| 1356901219 | Chris Ann Webb | Rehabilitation Practitioner | 12301 Main St., Professionals Unit, Houston, TX 77035 | 2019-06-13 |
| 1164983771 | Bringing Hope Inc. | Social Worker | 11401 Hwy 1774, Plantersville, TX 77035 | 2019-03-27 |
| 1760966105 | Lauren Michelle Auzenne | Dentist | 5357 West Bellfort Ave, Houston, TX 77035 | 2018-09-21 |
| 1821574583 | Priscilla D Davis | Counselor | 5240 Arboles Dr Apt 3, Houston, TX 77035 | 2018-07-16 |
| 1376964858 | South Central Houston Action Council Inc | Clinic/Center | 14087 Main St, Houston, TX 77035 | 2013-12-30 |
| 1952735391 | Gwendolyn Faye Jackson | Nurse's Aide | 5743 Farwell Dr., Houston, TX 77035 | 2013-08-21 |
| 1326383134 | Meyerland Memory Care, LLC | Assisted Living Facility | 4710 W Bellfort Street, Houston, TX 77035 | 2012-12-05 |
| 1063761997 | Millie Parikh | Pharmacist | 6415 Dellfern, Houston, TX 77035 | 2012-09-06 |
| 1912255183 | Kelly Lynn Murray | General Practice | 10811 Doud St, Houston, TX 77035 | 2012-08-20 |
| Find all providers in zip 77035 | ||||
| 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 |
|---|---|---|---|---|
| 1699394320 | Thaddeus Gibson | Community Based Residential Treatment Facility, Mental Illness | 15638 Western Skies Dr, Houston, TX 77086-1169 | 2020-04-13 |
| 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 |
| 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.