NPIMap

Organization Active NPI

In Home Services of Southeast Texas

  • Behavior Analyst
  • Orange, TX
National Provider Identifier
1134466378
Registry record updated Jan 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
IN HOME SERVICES OF SOUTHEAST TEXAS
Practice address
4973 Carlton St
Orange, TX 77632-5654
Phone
(409) 791-6894
NPI assigned
Jan 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2013

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

Authorized official

Name
Jennifer Ford, BEHAVIOR CONSULTANT
Title
Owner
Phone
(409) 791-6894

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

4973 Carlton St
Orange, TX 77632-5654

Mailing address

PO Box 2124
Buna, TX 77612-2124
Phone (409) 651-0991

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1357603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357603200000",
    "number": "1134466378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2124",
            "city": "BUNA",
            "state": "TX",
            "postal_code": "776122124",
            "telephone_number": "409-651-0991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4973 CARLTON ST",
            "city": "ORANGE",
            "state": "TX",
            "postal_code": "776325654",
            "telephone_number": "409-791-6894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN HOME SERVICES OF SOUTHEAST TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-08",
        "last_updated": "2013-01-08",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-791-6894",
        "authorized_official_credential": "BEHAVIOR CONSULTANT"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.