JUBILEE GROUP HOME INC. NPI 1083817191

NPI Information

NPI: 1083817191
Provider Name: JUBILEE GROUP HOME INC.
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
2678 LAUREL AVENUE
BEAUMONT, TX
ZIP 77702
Phone: (409) 347-2093
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JUBILEE GROUP HOME INC. is a community based residential treatment facility mental illness in Beaumont, TX. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. JUBILEE GROUP HOME INC. NPI is 1083817191. The provider is registered as an organization entity type.

The provider's business location address is:

2678 LAUREL AVENUE
BEAUMONT, TX
ZIP 77702-205
Phone: (409) 347-2093
Fax: (281) 561-8022

The provider's authorized official is Michael Ezigbo Umeorah .
The authorized official title is Ceo and has the following contact phone number (832) 508-2748.

The enumeration date for this NPI number is 6/6/2007 and was last updated on 1/25/2024.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320800000X	Community Based Residential Treatment Facility, Mental Illness		001007275	TEXAS	Yes

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: 4/28/2024

NPI Synchronization or Removal

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