Ez Living Residential Home

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

EZ LIVING RESIDENTIAL HOME

Practice address

5823 Mount Houston Rd
Houston, TX 77050-5429

Phone

(832) 230-1769

Fax

(832) 230-1769

NPI assigned

Jul 16, 2012

Organization subpart

No

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

Authorized official

Name

Hattie M Banks

Title

Administrator

Phone

(832) 230-1769

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hattie M Gamble

  • Mental Illness Community Based Residential Treatment Facility
  • Houston, TX
  • NPI 1962778936

  Community Based Residential Treatment Facility, Mental Illness

  NPD (past)

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

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342396800000",
    "number": "1184979114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5823 MOUNT HOUSTON RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770505429",
            "telephone_number": "832-230-1769",
            "fax_number": "832-230-1769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5823 MOUNT HOUSTON RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770505429",
            "telephone_number": "832-230-1769",
            "fax_number": "832-230-1769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EZ LIVING RESIDENTIAL HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-16",
        "last_updated": "2012-07-16",
        "status": "A",
        "authorized_official_last_name": "BANKS",
        "authorized_official_first_name": "HATTIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "832-230-1769"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Illness Community Based Residential Treatment Facility in Houston, TX
• Providers in Houston, TX by specialty
• Mental Illness Community Based Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2012; 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.