A House of Refuge, LLC.
Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Mesquite, TX
NPI 1447979620 · NPPES record last updated Jun 20, 2024
Key facts
- NPI
- 1447979620
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
- Legal business name
- A HOUSE OF REFUGE, LLC.
- Practice address
- 1151 Monterrey TRL
Mesquite, TX 75149-5277 - Phone
- (402) 714-1857
- NPI assigned
- Aug 23, 2022
- Organization subpart
- No
Authorized official
- Name
- Mr. Cager Eaton Haynes
- Title
- Executive Director
- Phone
- (402) 714-1857
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Physical Disabilities Residential Treatment Facility | 320700000X | |||
| Mental Illness Community Based Residential Treatment Facility | 320800000X | |||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Yes |
Addresses
Primary practice location
1151 Monterrey TRL
Mesquite, TX 75149-5277
Mailing address
PO Box 2653
McKinney, TX 75070-8174
Phone (402) 714-1857
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Houserefuge4@yahoo.com |
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 20, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.