India Chasity James-Miller

Individual provider Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Channelview, TX

NPI 1013868876 · NPPES record last updated Mar 27, 2026

Key facts

NPI
1013868876
Entity type
Individual (NPI type 1)
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
License
28005774 (TX)
Practice address
15019 Easingwold Dr
Channelview, TX 77530-2063
Phone
(409) 239-3836
NPI assigned
Feb 6, 2026
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
28005774TXMDIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 28005774 TX Yes

Addresses

Primary practice location

15019 Easingwold Dr
Channelview, TX 77530-2063

Mailing address

15019 Easingwold Dr
Channelview, TX 77530-2063
Phone (409) 239-3836

Other providers in Channelview, TX

All providers in Channelview, TX · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Texas

Sources for this page

Verify at the official NPI Registry.