The Gabriel House

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

000999904 Issued in TX

Legal business name

THE GABRIEL HOUSE

Practice address

4530 U S Highway 190 E
Livingston, TX 77351-1473

Phone

(936) 327-7075

Fax

(936) 327-5143

NPI assigned

Aug 9, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Edna M Luce, 01291950

Title

Administrator

Phone

(936) 433-5974

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1487846820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4530 U S HIGHWAY 190 E",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773511473",
            "telephone_number": "936-327-7075",
            "fax_number": "936-327-5143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4530 U S HIGHWAY 190 E",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773511473",
            "telephone_number": "936-327-7075",
            "fax_number": "936-327-5143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GABRIEL HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-09",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "LUCE",
        "authorized_official_first_name": "EDNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "936-433-5974",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "01291950"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "TX",
            "license": "000999904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elaina Tapscott, PTA
• Dennis Wayne Teal, D.C.
• Mark Templet, RPH
• Texan EMS LLC
• The Center for Sight, PA
• The Warren Corporation
• Marshelle Nicole Thomas, M.S., CF-SLP
• Thrive Healthspan PLLC
• Vashti Tillman
• Timothy Shane Shaw MD, PA

• Intellectual Disabilities Intermediate Care Facility in Livingston, TX
• Providers in Livingston, TX by specialty
• Intellectual Disabilities Intermediate Care Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.