Organization Active NPI

Abj Active Life HCS, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Houston, TX
National Provider Identifier
1992007686
Registry record updated Dec 1, 2010
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
ABJ ACTIVE LIFE HCS, INC.
Practice address
8902 Crazy Horse TRL
Houston, TX 77064-7151
Phone
(281) 894-4047
Fax
(281) 894-4047
NPI assigned
Dec 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2010

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

Authorized official

Name
Mr. Arthur Boyagon Butic
Title
President
Phone
(281) 894-4047

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

8902 Crazy Horse TRL
Houston, TX 77064-7151

Mailing address

8902 Crazy Horse TRL
Houston, TX 77064-7151
Phone (281) 894-4047

National Provider Directory

National Provider Directory
Tax ID family
Abj Active Life HCS Inc2 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.

NPI Registry JSON

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

{
    "created_epoch": "1291161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291161600000",
    "number": "1992007686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8902 CRAZY HORSE TRL",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770647151",
            "telephone_number": "281-894-4047",
            "fax_number": "281-894-4047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8902 CRAZY HORSE TRL",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770647151",
            "telephone_number": "281-894-4047",
            "fax_number": "281-894-4047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABJ ACTIVE LIFE HCS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-01",
        "last_updated": "2010-12-01",
        "status": "A",
        "authorized_official_last_name": "BUTIC",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "BOYAGON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-894-4047",
        "authorized_official_name_prefix": "Mr."
    },
    "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": []
}

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 Dec 1, 2010; 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.