Active NPI
The Emanuel House
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Spring, TX
National Provider Identifier
1033488689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Legal business name
- THE EMANUEL HOUSE
- Practice address
- 9506 Rannock Way
Spring, TX 77379-4331 - Phone
- (832) 545-6196
- NPI assigned
- Dec 27, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Ebony Chantrice Jackson
- Title
- Program Director
- Phone
- (832) 545-6196
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | Primary |
Addresses
Primary practice location
9506 Rannock Way
Spring, TX 77379-4331
Mailing address
9506 Rannock Way
Spring, TX 77379-4331
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324944000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1324944000000",
"number": "1033488689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9506 RANNOCK WAY",
"city": "SPRING",
"state": "TX",
"postal_code": "773794331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9506 RANNOCK WAY",
"city": "SPRING",
"state": "TX",
"postal_code": "773794331",
"telephone_number": "832-545-6196"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE EMANUEL HOUSE",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-27",
"last_updated": "2011-12-27",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "EBONY",
"authorized_official_middle_name": "CHANTRICE",
"authorized_official_title_or_position": "PROGRAM DIRECTOR",
"authorized_official_telephone_number": "832-545-6196",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spring, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.