111 Ave B LLC
Organization Active NPI Case Management Agency · Humble, TX
NPI 1831932151 · NPPES record last updated Jul 13, 2024
Key facts
- NPI
- 1831932151
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Case Management Agency 251B00000X
- Legal business name
- 111 AVE B LLC
- Practice address
- 111 S Avenue B
Humble, TX 77338-4510 - Phone
- (281) 733-7525
- NPI assigned
- Jun 14, 2024
- Organization subpart
- No
Authorized official
- Name
- Robert Panzarella
- Title
- Ceo
- Phone
- (281) 733-7525
National Provider Directory
Locations
111 S Avenue B
Humble, TX 77338
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor |
101YP2500X | |||
| Case Management Agency | 251B00000X | Yes | ||
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
111 S Avenue B
Humble, TX 77338-4510
Mailing address
111 S Avenue B
Humble, TX 77338-4510
Other names
- Texas Care Humble ISD
Other providers in Humble, TX
- 1 Care Premier Medical Supply
- 20-20 Express--Houston LLC
- 5 - Star Living, LLC
- 5 - Star Luxury Living
- A & a Respiratory & Medical Supply Inc
- A & J Medical Consulting PLLC
All providers in Humble, TX · Case Management Agency in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.