Ahidi Residence

Primary specialty

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

License

479275428 Issued in TX

Legal business name

AHIDI RESIDENCE

Practice address

10851 W Montfair Blvd
5318
The Woodlands, TX 77382-2925

Phone

(713) 380-7600

NPI assigned

Aug 7, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Violet Isufi, RN

Title

Ceo

Phone

(713) 380-7600

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1407369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407369600000",
    "number": "1609285238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10851 W MONFAIR BLVD",
            "address_2": "APT 5318",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "77382",
            "telephone_number": "713-380-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10851 W MONTFAIR BLVD",
            "address_2": "5318",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773822925",
            "telephone_number": "713-380-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHIDI RESIDENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-07",
        "last_updated": "2014-08-07",
        "status": "A",
        "authorized_official_last_name": "ISUFI",
        "authorized_official_first_name": "VIOLET",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "713-380-7600",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "TX",
            "license": "479275428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jairus Marc Francisco Aguilar, LMSW
• Jessica A Aheron, MD
• Arshad Ahmed, MD
• Hamza Ahsan, MD
• Sinem Akay-Sullivan, PH.D., LPC-S, RPT
• Joshua Robert Akerman, D.C.
• Yazan Samer Akkad, LPC

• All providers in The Woodlands, TX
• 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 Aug 7, 2014; 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.