Classic Group H Ome

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

115384 Issued in TX

Legal business name

CLASSIC GROUP H OME

Practice address

1454 Somercotes LN
Channelview, TX 77530-2258

Phone

(281) 452-4661

Fax

(281) 452-4639

NPI assigned

Oct 24, 2006

Last updated

Jul 16, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Shirley Ann Shaw

Title

Owner

Phone

(281) 452-4661

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373932800000",
    "number": "1093899445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1454 SOMERCOTES LN",
            "city": "CHANNELVIEW",
            "state": "TX",
            "postal_code": "775302258",
            "telephone_number": "281-452-4661",
            "fax_number": "281-452-4639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1454 SOMERCOTES LN",
            "city": "CHANNELVIEW",
            "state": "TX",
            "postal_code": "775302258",
            "telephone_number": "281-452-4661",
            "fax_number": "281-452-4639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLASSIC GROUP H OME",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2013-07-16",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-452-4661",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "TX",
            "license": "115384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "000756001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Channelview EMS
• Channelview Health Services, Inc
• Channelview Isd
• Channelview Volunteer Fire D (Channelview Volunteer Fire Department)
• Embra Clark, LVN
• Clutch Transit, LLC
• Philip Daniel Conklin, D.C.
• Gloria Cox
• CVS Pharmacy Inc (CVS Pharmacy # 06742)
• Dallas Healthcare Systems Inc

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Channelview, TX
• Providers in Channelview, TX by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.