Active NPI
Faith House Group Home
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Houston, TX
National Provider Identifier
1972936987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- FAITH HOUSE GROUP HOME
- Practice address
- 9393 Tidwell Rd
Apt 3111
Houston, TX 77078-3429 - Phone
- (832) 716-0408
- NPI assigned
- Aug 13, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Latarsha Williams, CMA
- Title
- Sole Properitor
- Phone
- (832) 716-0408
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | TX | Primary |
Addresses
Primary practice location
9393 Tidwell Rd
Apt 3111
Houston, TX 77078-3429
Mailing address
9393 Tidwell Rd
Apt 3111
Houston, TX 77078-3429
Phone (832) 716-0408
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376352000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1376352000000",
"number": "1972936987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9393 TIDWELL RD",
"address_2": "APT 3111",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770783429",
"telephone_number": "832-716-0408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9393 TIDWELL RD",
"address_2": "APT 3111",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770783429",
"telephone_number": "832-716-0408"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAITH HOUSE GROUP HOME",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-13",
"last_updated": "2013-08-13",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "LATARSHA",
"authorized_official_title_or_position": "SOLE PROPERITOR",
"authorized_official_telephone_number": "832-716-0408",
"authorized_official_credential": "CMA"
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [],
"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 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.