Active NPI
The Forestine Housing Solutions LLC
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Houston, TX
National Provider Identifier
1215747332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- THE FORESTINE HOUSING SOLUTIONS LLC
- Practice address
- 2405 Minnesota St
Houston, TX 77034-1127 - Phone
- (708) 921-4846
- NPI assigned
- Jan 10, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amanda Cooper
- Title
- Chief Executive Officer
- Phone
- (708) 921-4846
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Primary |
Addresses
Primary practice location
2405 Minnesota St
Houston, TX 77034-1127
Mailing address
2405 Minnesota St
Houston, TX 77034-1127
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736467200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736467200000",
"number": "1215747332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2405 MINNESOTA ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770341127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2405 MINNESOTA ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770341127",
"telephone_number": "708-921-4846"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE FORESTINE HOUSING SOLUTIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-10",
"last_updated": "2025-01-10",
"certification_date": "2025-01-10",
"status": "A",
"authorized_official_last_name": "COOPER",
"authorized_official_first_name": "AMANDA",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "708-921-4846"
},
"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": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.