House of Stars LLC
Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Navasota, TX
NPI 1457041782 · NPPES record last updated Mar 22, 2024
Key facts
- NPI
- 1457041782
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
- Legal business name
- HOUSE OF STARS LLC
- Practice address
- 1105 W Washington Ave
Navasota, TX 77868-2851 - Phone
- (936) 419-6015
- NPI assigned
- May 10, 2023
- Organization subpart
- Yes
- Parent organization (as reported)
- HOUSE OF STARS LLC
Authorized official
- Name
- Ronnie Wells
- Title
- Program Manager
- Phone
- (936) 499-9696
National Provider Directory
- Part of
- House of Stars LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Yes |
Addresses
Primary practice location
1105 W Washington Ave
Navasota, TX 77868-2851
Mailing address
1105 W Washington Ave
Navasota, TX 77868-2851
Phone (936) 419-6015
Other names
- House of Stars
Other providers in Navasota, TX
- David Lee Griffith
- Patricia A Griffith
- Lisa Gibbs Hall
- Michael Hazel
- Sterling C Hickson
- Lee Ann Howell Loup
- J & L Medical PLLC
- Jaime C Benton MD PA
- Nora Anita Janjan
- Brandon Jarvis
All providers in Navasota, TX · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 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.