Eddie Living Inc

Primary specialty

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

License

1238428 Issued in TX

Legal business name

EDDIE LIVING INC

Practice address

5509 Wipprecht St
Houston, TX 77026-1741

Phone

(713) 633-0042

Fax

(281) 749-8228

NPI assigned

Aug 26, 2011

Last updated

Feb 8, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Sherrie La'Niece Thompson-Jackson, DIRECTOR OF OPERATIO

Title

Executive Director

Phone

(281) 541-5318

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1314316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360281600000",
    "number": "1457631087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 671646",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772671646",
            "telephone_number": "713-633-0042",
            "fax_number": "281-749-8228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5509 WIPPRECHT ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770261741",
            "telephone_number": "713-633-0042",
            "fax_number": "281-749-8228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDDIE LIVING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-26",
        "last_updated": "2013-02-08",
        "status": "A",
        "authorized_official_last_name": "THOMPSON-JACKSON",
        "authorized_official_first_name": "SHERRIE",
        "authorized_official_middle_name": "LA'NIECE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "281-541-5318",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DIRECTOR OF OPERATIO"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "TX",
            "license": "1238428",
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "TX",
            "license": "1238428",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "TX",
            "license": "1238428",
            "primary": true
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "TX",
            "license": "1238428",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edcheril Benny MD PLLC
• Nicholas Edd, PSY.D
• Joachin Daberechi Eddi, MD
• Eddie B. Webb
• Eddie Davis DPM PLLC
• Eddie Realty Services LLC (E And C Homes)
• Eddii Care PLLC (eddii-Care)
• Jill Eddings, M.D.
• Eddins Counseling Group, PLLC (Eddins Counseling Group)
• Rachel Leigh Eddins, LPC

• 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 Feb 8, 2013; 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.