Deondra R Hardemon

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

DEONDRA R HARDEMON

Practice address

4006 Ripplebrook Dr
Houston, TX 77045-5518

Phone

(713) 933-9595

Fax

(866) 703-8463

NPI assigned

Dec 31, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Deondra Rochelle Hardemon

Title

Ceo

Phone

(713) 933-9595

Specialties & licenses 1

Addresses

Tax ID family

Deondra R Hardemon2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Prosperity Care LLC

  • Exclusive Provider Organization
  • Houston, TX
  • NPI 1730445271
  NPD tax ID

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219968000000",
    "number": "1982889655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4006 RIPPLEBROOK DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770455518",
            "telephone_number": "713-933-9595",
            "fax_number": "866-703-8463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4006 RIPPLEBROOK DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770455518",
            "telephone_number": "713-933-9595",
            "fax_number": "866-703-8463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEONDRA R HARDEMON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-31",
        "last_updated": "2008-08-29",
        "status": "A",
        "authorized_official_last_name": "HARDEMON",
        "authorized_official_first_name": "DEONDRA",
        "authorized_official_middle_name": "ROCHELLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "713-933-9595",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Houston, TX
• Providers in Houston, TX by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.