The House of David Group Home

Primary specialty

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

Legal business name

THE HOUSE OF DAVID GROUP HOME

Doing business as

The House of David Group Home

Practice address

6422 Hillman Glen Cir
Houston, TX 77086-2834

Phone

(713) 256-8637

Fax

(281) 448-3632

NPI assigned

Aug 21, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Tania Kidada Davis

Title

Owner

Phone

(713) 256-8637

Specialties & licenses 1

Addresses

Other names 1

• The House of David Group Home Doing business as

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

{
    "created_epoch": "1282348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282348800000",
    "number": "1831405364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6422 HILLMAN GLEN CIR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770862834",
            "telephone_number": "713-256-8637",
            "fax_number": "281-448-3632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6422 HILLMAN GLEN CIR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770862834",
            "telephone_number": "713-256-8637",
            "fax_number": "281-448-3632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HOUSE OF DAVID GROUP HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-21",
        "last_updated": "2010-08-21",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "TANIA",
        "authorized_official_middle_name": "KIDADA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-256-8637",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The House of David Group Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Aug 21, 2010; 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.