James-Leach,Inc.
Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Smiley, TX
NPI 1114095957 · NPPES record last updated Dec 11, 2024
Key facts
- NPI
- 1114095957
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
- License
- 114228 (TX)
- Legal business name
- JAMES-LEACH,INC.
- Practice address
- 3221 Hwy. 87 West
Smiley, TX 78159 - Phone
- (979) 968-8820
- Fax
- (979) 968-6598
- NPI assigned
- Dec 1, 2006
- Organization subpart
- No
Authorized official
- Name
- William K Gray II
- Title
- President
- Phone
- (979) 968-8820
Corporate family (same tax ID) 10
National Provider Directory
- Tax ID family
- James-Leach Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | 114228 | TX | Yes |
Addresses
Primary practice location
3221 Hwy. 87 West
Smiley, TX 78159
Mailing address
2004 S US Highway 77
La Grange, TX 78945-6127
Phone (979) 968-8820
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 45H251 | Medicaid | TX |
Other names
- Gonzales County Community Residence
Other providers in Smiley, TX
All providers in Smiley, TX · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.