Harvest Home, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

0392 Issued in TX

Legal business name

HARVEST HOME, INC.

Practice address

520 Baker Dr
Tomball, TX 77375-4121

Phone

(281) 357-5775

NPI assigned

Jul 18, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Jimmy Clyde Shaw

Title

President

Phone

(281) 703-7711

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216339200000",
    "number": "1932364973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 BAKER DR",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773754121",
            "telephone_number": "281-357-5775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 BAKER DR",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773754121",
            "telephone_number": "281-357-5775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARVEST HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-18",
        "last_updated": "2008-07-18",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_middle_name": "CLYDE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-703-7711",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "0392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Tomball, TX
• Providers in Tomball, TX by specialty
• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.