MDR Community Living

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

MDR COMMUNITY LIVING

Doing business as

MDR Community Living

Practice address

6000 Hollister St Apt 2711
Houston, TX 77040-6878

Phone

(832) 455-6303

NPI assigned

Sep 29, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Reginald Lamonte Lewis

Title

Program Adminstrator

Phone

(832) 455-6303

Specialties & licenses 1

Addresses

Other names 1

• MDR Community Living Doing business as

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

{
    "created_epoch": "1254182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254182400000",
    "number": "1275867830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 HOLLISTER ST APT 2711",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770406878",
            "telephone_number": "832-455-6303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 HOLLISTER ST APT 2711",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770406878",
            "telephone_number": "832-455-6303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDR COMMUNITY LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-29",
        "last_updated": "2009-09-29",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "REGINALD",
        "authorized_official_middle_name": "LAMONTE",
        "authorized_official_title_or_position": "PROGRAM ADMINSTRATOR",
        "authorized_official_telephone_number": "832-455-6303",
        "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": [
        {
            "organization_name": "MDR Community Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Houston, TX
• Providers in Houston, TX by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2009; 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.