Organization Active NPI

Avondale House

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Houston, TX
National Provider Identifier
1750547402
Registry record updated Aug 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
117487 Issued in TX
Legal business name
AVONDALE HOUSE
Practice address
3737 Omeara Dr
Houston, TX 77025-5560
Phone
(713) 993-9544
Fax
(713) 993-0751
NPI assigned
Aug 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2008

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

Authorized official

Name
Ms. Barbara Boyett
Title
C.E.O.
Phone
(713) 993-9544

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 117487 TX Primary

Addresses

Primary practice location

3737 Omeara Dr
Houston, TX 77025-5560

Mailing address

3737 Omeara Dr
Houston, TX 77025-5560
Phone (713) 993-9544

Other identifiers 1

IdentifierTypeStateIssuer
001000727MedicaidTX

National Provider Directory

National Provider Directory
Tax ID family
Avondale House3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1217548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217548800000",
    "number": "1750547402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 OMEARA DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770255560",
            "telephone_number": "713-993-9544",
            "fax_number": "713-993-0751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 OMEARA DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770255560",
            "telephone_number": "713-993-9544",
            "fax_number": "713-993-0751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVONDALE HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-01",
        "last_updated": "2008-08-01",
        "status": "A",
        "authorized_official_last_name": "BOYETT",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "713-993-9544",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "TX",
            "license": "117487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001000727",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.