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S & G COMMUNITY LIVING CENTER INC. NPI 1063624237


NPI Information

NPI: 1063624237
Provider Name: S & G COMMUNITY LIVING CENTER, INC.

Doing Business As: PEBBLESHIRE HOUSE

Classification: Intermediate Care Facility, Mentally Retarded - 315P00000X
Entity Type: Organization
Address:
7865 PECAN VILLAS
HOUSTON, TX
ZIP 77061
Phone: (713) 598-1471
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S & G COMMUNITY LIVING CENTER, 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. S & G COMMUNITY LIVING CENTER, INC. NPI is 1063624237. The provider is registered as an organization entity type.
The provider Is Doing Business As Pebbleshire House.

The provider's business location address is:

7865 PECAN VILLAS
HOUSTON, TX
ZIP 77061
Phone: (713) 598-1471
Fax: (281) 334-7850

The provider's authorized official is Steve Alan Mulkey .
The authorized official title is President and has the following contact phone number (713) 598-1471.

The enumeration date for this NPI number is 5/3/2007 and was last updated on 8/10/2007.


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
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesTEXASNo
2315P00000XIntermediate Care Facility, Mentally Retarded117286TEXASYes

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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