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SPECIAL TEXAS HOMES INC NPI 1033223953


NPI Information

NPI: 1033223953
Provider Name: SPECIAL TEXAS HOMES INC

Doing Business As: RAVENHEAD LIVING CENTER

Classification: Intermediate Care Facility, Mentally Retarded - 315P00000X
Entity Type: Organization

CLIA Number: 45D2037306

Address:
314 RAVENHEAD
HOUSTON, TX
ZIP 77034
Phone: (713) 943-2510
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SPECIAL TEXAS HOMES INC is an intermediate care facility mentally retarded in Houston, TX. The provider is (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. SPECIAL TEXAS HOMES INC NPI is 1033223953. The provider is registered as an organization entity type.
The provider Is Doing Business As Ravenhead Living Center.

The provider's business location address is:

314 RAVENHEAD
HOUSTON, TX
ZIP 77034
Phone: (713) 943-2510
Fax: (713) 475-2332

The provider's authorized official is Jerrine B Harrell .
The authorized official title is President and has the following contact phone number (318) 445-6470.

The CLIA number assigned to this NPI record is 45D2037306 - intermediate care facility/individuals with intellectual disability with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/18/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1315P00000XIntermediate Care Facility, Mentally Retarded116774Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
145G933MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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