GREENWAY MANOR PERSONAL CARE HOME (NPI# 1841329190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841329190 |
| Entity Type | Organization |
| Organization Name | GREENWAY MANOR PERSONAL CARE HOME |
| Other Organization Name | ASSISTING LIVING FACILITY |
| Practice Address |
3625 Hopper Rd Houston TX 77093-2719 |
| Mailing Address |
Po Box 11700 Houston TX 77293-1700 |
| Practice Telephone | 2819873767 |
| Practice Fax Number | 2819870702 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. VIRGINIA W BAKER (ADMINISTRATOR) |
| Authorized Official Telephone | 2819873767 |
| Authorized Official Credential | PROVIDER |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 119109 | TX | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Assisting Living Facility | Doing Business As Name - Organization |
| Street Address |
3625 HOPPER RD |
| City | HOUSTON |
| State | TX |
| Zip Code | 77093-2719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801453501 | Burns Counseling Group, Pllc | Counselor | 4706 East Mount Houston Rd, Houston, TX 77093 | 2019-05-29 |
| 1306332150 | Jessica Lizette Sosa | Dentist | 3301 Tildwell Rd, Houston, TX 77093 | 2018-07-05 |
| 1851883169 | Anna Marie Graham Vii | Home Health | 2402 Mann, Houston, TX 77093 | 2018-06-01 |
| 1679076848 | Northside Health Center | Dentist | 8504 Schuller, Houston, TX 77093 | 2018-03-14 |
| 1598113532 | Matthews Transportation, LLC | Non-emergency Medical Transport (VAN) | 2002 Eubanks St, Houston, TX 77093 | 2016-06-01 |
| 1518308535 | Reena's Delightful Care | Health Maintenance Organization | 7426 1/2 Curry Rd, Houston, TX 77093 | 2013-07-08 |
| 1730472002 | Fourth Ward Clinic | Clinic/Center | 8504 Schuller Rd, Houston, TX 77093 | 2011-05-19 |
| 1104944131 | Roxanne Corello | Nurse Practitioner | 8523 Arkansas St, Houston, TX 77093 | 2007-03-27 |
| 1689719080 | Richard Kenneth Donelson | General Practice | 8523 Arkansas, Houston, TX 77093 | 2007-02-21 |
| 1144365859 | David Wayne Block | Dentist | 8504 Schulle, Houston, TX 77093 | 2007-02-20 |
| Find all providers in zip 77093 | ||||
| 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.