Organization Active NPI

Amanuel D Atsbaha

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Houston, TX
National Provider Identifier
1144405812
Registry record updated Dec 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
AMANUEL D ATSBAHA
Practice address
7400 Bellerive Dr Apt 1303
Houston, TX 77036-3048
Phone
(281) 704-8495
Fax
(713) 974-6653
NPI assigned
Dec 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2007

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

Authorized official

Name
Mr. Amanuel Debesay Atsbaha
Title
Ceo
Phone
(281) 704-8495

Specialties & licenses 1

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

Addresses

Primary practice location

7400 Bellerive Dr Apt 1303
Houston, TX 77036-3048

Mailing address

7400Bellerive Apt.1303
Houston, TX 77036
Phone (281) 704-8495

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199059200000",
    "number": "1144405812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400BELLERIVE APT.1303",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77036",
            "telephone_number": "281-704-8495",
            "fax_number": "713-974-6653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 BELLERIVE DR APT 1303",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770363048",
            "telephone_number": "281-704-8495",
            "fax_number": "713-974-6653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANUEL D ATSBAHA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-31",
        "last_updated": "2007-12-31",
        "status": "A",
        "authorized_official_last_name": "ATSBAHA",
        "authorized_official_first_name": "AMANUEL",
        "authorized_official_middle_name": "DEBESAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "281-704-8495",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2007; 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.