DEVELOPMENTAL DISABILITIES MANAGEMENT SERVICES OF HOUSTON, LLC (NPI# 1992102701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992102701 |
Entity Type | Organization |
Organization Name | DEVELOPMENTAL DISABILITIES MANAGEMENT SERVICES OF HOUSTON, LLC |
Practice Address |
5126 Bosworth St Houston TX 77017-4002 |
Mailing Address |
4115 Galveston Rd Houston TX 77017-2518 |
Practice Telephone | 7134752220 |
Mailing Telephone | 7134752220 |
Enumeration Date | 2014-11-21 |
Last Update Date | 2014-11-21 |
Authorized Official Name | WAYNE ADDISON (COO) |
Authorized Official Telephone | 9016925555 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | TX | Residential Treatment Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | APPLIED FOR | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528465333 | Developmental Disabilities Management Services of Houston, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2601 Henderson Ln, Deer Park, TX 77536-4809 | 2014-11-21 |
1093112807 | Developmental Disabilities Management Services of Houston, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 913 E X St, Deer Park, TX 77536-3729 | 2014-11-21 |
1801293618 | Developmental Disabilities Management Services of Houston, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 9734 Shell Rock Rd, La Porte, TX 77571-4121 | 2014-11-21 |
1124425038 | Developmental Disabilities Management Services of Houston, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3602 Windsor Dr, Deer Park, TX 77536-6180 | 2014-11-21 |
1811394620 | Developmental Disabilities Management Services of Houston, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 314 Ravenhead Dr, Houston, TX 77034-1524 | 2014-11-21 |
1902203714 | Developmental Disabilities Management Services of Houston, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2406 San Jacinto Dr, Pasadena, TX 77502-4403 | 2014-11-21 |
1437556248 | Developmental Disabilities Management Services of Houston, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5205 Meadow Place Dr, La Porte, TX 77571-2820 | 2014-11-21 |
1588061493 | Developmental Disabilities Management Services of Houston, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4314 Ponca St, Pasadena, TX 77504-3553 | 2014-11-21 |
1043617954 | Developmental Disabilities Management Services of Houston, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2012 Judy Ln, Pasadena, TX 77502-3702 | 2014-11-21 |
1053718965 | Developmental Disabilities Management Services of Houston, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2301 Olive Cir, Baytown, TX 77520-5775 | 2014-11-21 |
Street Address |
5126 BOSWORTH ST |
City | HOUSTON |
State | TX |
Zip Code | 77017-4002 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467460485 | Special Texas Homes, Inc. | Intermediate Care Facility, Mentally Retarded | 5126 Bosworth St, Houston, TX 77017-4002 | 2006-08-04 |
1083830533 | Special Texas Homes, Inc. | Intermediate Care Facility, Mentally Retarded | 5126 Bosworth St, Houston, TX 77017-4002 | 2007-04-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992347991 | Michael Shackelford | Technician | 4007 Meridian, Houston, TX 77017 | 2019-10-10 |
1528478039 | Gulf Coast Opportunity Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4115 Galveston Road, Houston, TX 77017 | 2014-05-06 |
1871926428 | Children 1st Houston South, LLC | Clinic/Center | 8545 Gulf Fwy, Houston, TX 77017 | 2013-08-19 |
1609219146 | Harmony Group, LLC | Community/Behavioral Health | 8485 Gulf Fwy Ste A, Houston, TX 77017 | 2013-04-15 |
1407102833 | Abby Medical Supply | Durable Medical Equipment & Medical Supplies | 8503 Gulf Freeway, F, Houston, TX 77017 | 2012-08-03 |
1568605848 | Atlantic Avenue, LLC | Home Health | 7925 Grafton Street, Houston, TX 77017 | 2009-04-15 |
1447404975 | Joseph Sleiman, Md Pa | Family Medicine | 8221 Gulf Freeway, Suite 400, Houston, TX 77017 | 2008-11-11 |
1659535938 | Mark E. Caranto,dds,pa | Dentist | 8221 Gulf Freeway Suite 300, Houston, TX 77017 | 2008-07-15 |
1184709289 | Nedith Casquete | Dentist | 3201 Broadway St, Houston, TX 77017 | 2006-10-26 |
1275542250 | Occupational Health Centers of The Southwest, P.a. | Clinic/Center | 8505 Gulf Freeway, Suite F, Houston, TX 77017 | 2006-08-07 |
Find all providers in zip 77017 |
Taxonomy Code | 320600000X |
Grouping | Residential Treatment Facilities |
Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285253856 | 1 Care Premier Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 340 N Sam Houston Pkwy E Ste A247, Houston, TX 77060-3305 | 2020-04-13 |
1144877481 | Boniswa Portia Maduna | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 8000 Cook Rd Apt 1109, Houston, TX 77072-3939 | 2019-08-21 |
1376104653 | Ladies Haven | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2525 Winrock Blvd Apt 122, Houston, TX 77057-4325 | 2019-06-26 |
1366005712 | Cogic | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 7809 Winship St, Houston, TX 77028-2441 | 2019-04-20 |
1891257382 | Amazing Grace Greater Homes LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 9231 Floral Crest Dr, Houston, TX 77083-6226 | 2019-04-03 |
1083172092 | Silver Lining Residential,llc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 8014 Montague Manor Ln, Houston, TX 77072-0124 | 2019-03-08 |
1922570712 | Katrina Williams | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 12214 Plumpoint Dr, Houston, TX 77099-3138 | 2018-12-18 |
1902376635 | Friendly Angels LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 15403 Town Green Dr, Houston, TX 77083-5539 | 2018-11-26 |
1851869358 | Wavuli Foundation | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 8542 Village Rose Ln, Houston, TX 77072-5649 | 2018-11-02 |
1083197966 | C&d Amazing Care Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 15226 Mission Forest Dr, Houston, TX 77083-7359 | 2018-09-07 |
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.