Organization Active NPI

Faith House Group Home

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Houston, TX
National Provider Identifier
1972936987
Registry record updated Aug 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
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

Updated by the provider on Aug 13, 2013

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.