Organization Active NPI

Abraham's Residential Services, Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Lancaster, TX
National Provider Identifier
1770890683
Registry record updated Dec 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
ABRAHAM'S RESIDENTIAL SERVICES, INC
Practice address
334 S Stewart Ave
Lancaster, TX 75146-3142
Phone
(972) 365-8186
Fax
(469) 547-1046
NPI assigned
Sep 13, 2010
Last updated
Dec 5, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2011

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

Authorized official

Name
Ruby Carroll
Title
President
Phone
(972) 365-8186

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X NU Primary

Addresses

Primary practice location

334 S Stewart Ave
Lancaster, TX 75146-3142

Mailing address

334 S Stewart Ave
Lancaster, TX 75146-3142
Phone (972) 365-8186

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323043200000",
    "number": "1770890683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 S STEWART AVE",
            "city": "LANCASTER",
            "state": "TX",
            "postal_code": "751463142",
            "telephone_number": "972-365-8186",
            "fax_number": "972-227-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 S STEWART AVE",
            "city": "LANCASTER",
            "state": "TX",
            "postal_code": "751463142",
            "telephone_number": "972-365-8186",
            "fax_number": "469-547-1046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABRAHAM'S RESIDENTIAL SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-13",
        "last_updated": "2011-12-05",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "RUBY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-365-8186"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; 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.