LIFE GIVING LIFE THE RECOVERY PROJECT (NPI# 1871107185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871107185 |
| Entity Type | Organization |
| Organization Name | LIFE GIVING LIFE THE RECOVERY PROJECT |
| Practice Address |
14740 Liberty St. Montgomery TX 77354-7735 |
| Mailing Address |
222 N Vershire Cir Magnolia TX 77354-3309 |
| Practice Telephone | 5126629041 |
| Mailing Telephone | 5126629041 |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2020-09-03 |
| Authorized Official Name | JAMIE MCKIBBEN (PEER SPECIALIST) |
| Authorized Official Telephone | 5126629041 |
| Authorized Official Credential | CASE MANAGER |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| N | 251E00000X | Home Health | Agencies | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities | ||
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities | ||
| N | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Ambulatory Health Care Facilities | ||
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
| N | 261QR0800X |
Clinic/Center Specialization: Recovery Care |
Ambulatory Health Care Facilities | ||
| N | 276400000X | Rehabilitation, Substance Use Disorder Unit | Hospital Units | ||
| N | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
Nursing & Custodial Care Facilities | ||
| N | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities | ||
| Y | 3104A0630X |
Assisted Living Facility Specialization: Assisted Living, Behavioral Disturbances |
Nursing & Custodial Care Facilities |
| Street Address |
14740 LIBERTY ST. |
| City | MONTGOMERY |
| State | TX |
| Zip Code | 77354-7735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225646771 | Alex Chu | Dentist | 4849 Farm To Market Rd 1488, Suite #800, Magnolia, TX 77354 | 2020-07-21 |
| 1548886948 | Alexander M Beltran | Dentist | 18640 Farm To Market Rd 1488, Suite I, Magnolia, TX 77354 | 2020-06-22 |
| 1710524079 | Keegen Jonelle Barboo | Physician Assistant | 6022 Farm To Market Rd, 1488, Magnolia, TX 77354 | 2019-12-05 |
| 1467097931 | Select Physical Therapy Texas Limited Partnership | Clinic/Center | 5667 Fm 1488, Magnolia, TX 77354 | 2019-11-08 |
| 1942854583 | Mava Healthcare System LLC | Clinic/Center | 18230 Fm 1488 Suite 201, Magnolia, TN 77354 | 2019-08-01 |
| 1861909855 | Hays Nichols | Physical Therapy Assistant | Grand Estates 30000 Fm 2978, Apt 532, Magnolia, TX 77354 | 2017-12-29 |
| 1417492620 | Yos Healthcare Services Inc | Home Health | 15 Springtime Creek Dr., The Woodlands, TX 77354 | 2016-12-23 |
| 1205210929 | Kenneth Kim | Dentist | 6519 Fm 1488, Westwood Village, #505, Magnolia, TX 77354 | 2015-07-13 |
| 1861813438 | Sandstone Chiropractic Magnolia, Pllc | Chiropractor | 6875 Fm 1488, Suite 1300, Magnolla, TX 77354 | 2013-12-26 |
| 1467897447 | America's Er Site 001, LLC | Clinic/Center | 32784 Fm 2978, Suite A, Magnolia, TX 77354 | 2013-05-06 |
| Find all providers in zip 77354 | ||||
| Taxonomy Code | 3104A0630X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Behavioral Disturbances |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588275473 | Aedel Global Health Services LLC | Assisted Living Facility | 2824 Pino, Grand Prairie, TX 75054-0108 | 2020-08-13 |
| 1316556814 | Yewtree Assisted Living & Memory Care | Assisted Living Facility | 2100 Village Court, Sugar Land, TX 77479 | 2020-07-30 |
| 1487204939 | Steven Ryans | Assisted Living Facility | 12547 Chalmette St, Houston, TX 77015-3335 | 2019-09-17 |
| 1598314619 | Eldorado West Senior Living | Assisted Living Facility | 3051 W Eldorado Pkwy, Little Elm, TX 75068-3537 | 2019-09-11 |
| 1215598800 | Sonnet Sherice Smith | Assisted Living Facility | 4926 Teton St, Houston, TX 77033-3531 | 2019-06-25 |
| 1700343902 | Tutu Family Services | Assisted Living Facility | 6508 Jensen Dr, Houston, TX 77026-1123 | 2019-02-23 |
| 1740756865 | Olufemi Olajide Aridegbe | Assisted Living Facility | 4509 Marlboro Dr, Abilene, TX 79606-5472 | 2018-10-16 |
| 1316412620 | Olajumoke Olayinka Aridegbe I | Assisted Living Facility | 2016 S Clack St Apt 245, Abilene, TX 79606-1449 | 2018-10-12 |
| 1447732896 | Alexis Etienne Ingleton | Assisted Living Facility | 15840 Badger Creek Lm, Fort Worth, TX 76177 | 2018-09-02 |
| 1447740170 | Comfort Care Services Inc. | Assisted Living Facility | 15006 Brookwood Bridge Lane, Sugar Land, TX 77498 | 2018-05-17 |
| Find all providers with the same taxonomy | ||||
| City | MONTGOMERY |
| Zip Code | 77354 |
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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.