Active NPI
SM Residential Home LLC
- Mental Illness Community Based Residential Treatment Facility
- Houston, TX
National Provider Identifier
1447071394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- Legal business name
- SM RESIDENTIAL HOME LLC
- Practice address
- 7916 Wileyvale Rd
Houston, TX 77016-6440 - Phone
- (832) 216-0809
- NPI assigned
- Oct 23, 2024
- 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
- Mrs. Sharrell Richard
- Title
- Owner
- Phone
- (832) 216-0809
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Primary |
Addresses
Primary practice location
7916 Wileyvale Rd
Houston, TX 77016-6440
Mailing address
PO Box 111862
Houston, TX 77293-0862
Phone (832) 216-0809
Other names 1
- SM Residential Home
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729641600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729641600000",
"number": "1447071394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 111862",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772930862",
"telephone_number": "832-216-0809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7916 WILEYVALE RD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770166440",
"telephone_number": "832-216-0809"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SM RESIDENTIAL HOME LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-23",
"last_updated": "2024-10-23",
"certification_date": "2024-10-23",
"status": "A",
"authorized_official_last_name": "RICHARD",
"authorized_official_first_name": "SHARRELL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "832-216-0809",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SM Residential Home",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Oct 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.