Florence N Bennett

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

COMPONENT CODE86H Issued in TX

Practice address

11122 Colebrook Dr
Houston, TX 77072-1922

Phone

(713) 667-8307

Fax

(713) 520-7623

NPI assigned

Nov 4, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Divinity Care Center

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Houston, TX
  • NPI 1659852820

  Adult Care Home

  NPD Authorized official
• Florence Bennett

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Houston, TX
  • NPI 1376063024

  Day Training, Developmentally Disabled Services

  NPD Authorized official

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

{
    "created_epoch": "1162598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557360000000",
    "number": "1700965167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 300079",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772300079",
            "telephone_number": "713-303-1325",
            "fax_number": "713-520-7623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11122 COLEBROOK DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770721922",
            "telephone_number": "713-667-8307",
            "fax_number": "713-520-7623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "FLORENCE",
        "middle_name": "N",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-04",
        "last_updated": "2019-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "TX",
            "license": "86H",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "TX",
            "license": "COMPONENT CODE86H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "86H (001007690)",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "86H (001007692)",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Breyaun Bennett
• Bridget R. Bennett, MD
• Cierra Bennett, MD
• Denise McGill Bennett, LCSW
• Emily Natosha Bennett, APRN
• Hanna Bennett
• Jameelah Bennett, FNP-C
• James B Bennett, M.D.
• James Michael Bennett, M.D.
• Jimmie Bennett

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Houston, TX
• Providers in Houston, TX by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; 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.