NPIMap

Organization Active NPI

Houston Area Community Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Houston, TX
National Provider Identifier
1013324342
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
HOUSTON AREA COMMUNITY SERVICES, INC.
Practice address
17010 Sugar Pine Dr
Houston, TX 77090-2213
Phone
(281) 537-8627
NPI assigned
Jul 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tequila Henderson
Title
Revenue Cycle Director
Phone
(713) 426-0027

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

17010 Sugar Pine Dr
Houston, TX 77090-2213

Mailing address

2150 W 18TH St
Houston, TX 77008-5200
Phone (713) 426-0027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20071115000320 TX Part B Supplier - Clinic/Group Practice 6608977095 Receives reassigned benefits from 41 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Humble, TX; Houston, TX
O20141024000219 TX Part A Provider - Federally Qualified Health Center (FQHC) 6608977095 Practice locations: Houston, TX

Federally qualified health center certification: CCN 741872

Legal name
HOUSTON AREA COMMUNITY SERVICES, INC.
Doing business as
AVENUE 360 HEALTH AND WELLNESS - SPRING CYPRESS
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 14, 2015
Last certification
Jan 14, 2015
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Oct 9, 1997 in TX
Enrollment address
17010 Sugar Pine Dr
Hacs Spring Cypress
Houston, TX 77090-2213

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Avenue 360 Health Wellness Pharmacy - Midtown7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Tequila Henderson Individual W-2 Managing Employee Sep 1, 2023
Houston Area Community Services, Inc. Organization, Houston, TX Corporation Operational/Managerial Control Apr 1, 2014 100%

Owners & managing parties with NPI records 5

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Avenue 360 Health and WellnessHouston, TX, CCN 671910 Federally qualified health center Other Sep 1, 2023
Avenue 360 Health and Wellness MidtownHouston, TX, CCN 451159 Federally qualified health center Operational/Managerial Control Mar 1, 2021

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1405641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781222400000",
    "number": "1013324342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 W 18TH ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770085200",
            "telephone_number": "713-426-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17010 SUGAR PINE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902213",
            "telephone_number": "281-537-8627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSTON AREA COMMUNITY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-18",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "TEQUILA",
        "authorized_official_title_or_position": "REVENUE CYCLE DIRECTOR",
        "authorized_official_telephone_number": "713-426-0027"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.