BEHAVIORAL HOSPITAL OF BELLAIRE, LLC - NPI NUMBER 1811060569

Summary

Provider Name: BEHAVIORAL HOSPITAL OF BELLAIRE, LLC

NPI Number: 1811060569

Clasification: Psychiatric Hospital (283Q00000X)

Address:
5314 DASHWOOD DR
HOUSTON, TX
ZIP 77081

Phone Number: (713) 600-9500



Detailed Information

BEHAVIORAL HOSPITAL OF BELLAIRE, LLC is a psychiatric hospital in Houston, TX. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. The assigned NPI number for this provider is 1811060569 and is registered as an organization entity type.

The provider's business address is:

5314 DASHWOOD DR
HOUSTON, TX
ZIP 77081-603
Phone: (713) 600-9500
Fax: (713) 600-9548

The provider's authorized official is Mark J Harris .
The authorized official title is Member and has the following contact phone number (337) 264-8121.

The enumeration date for this NPI number is 11/17/2006 and was last updated on 4/10/2008.

Map - Location of Practice

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Taxonomy Codes

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 283Q00000X Psychiatric Hospital TX Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 454107 MEDICARE ID-TYPE UNSPECIFIED TX

NPI Record

No. Field Name Field Value
1 NPI 1811060569
2 Entity Type Code 2
3 Employer Identification Number EIN
4 Provider Organization Name Legal Business Name BEHAVIORAL HOSPITAL OF BELLAIRE, LLC
5 Provider First Line Business Practice Location Address 5314 DASHWOOD DR
6 Provider Business Practice Location Address City Name HOUSTON
7 Provider Business Practice Location Address State Name TX
8 Provider Business Practice Location Address Postal Code 770814603
9 Provider Business Practice Location Address Country Code If outside U S US
10 Provider Business Practice Location Address Telephone Number 7136009500
11 Provider Business Practice Location Address Fax Number 7136009548
12 Provider Enumeration Date 11/17/2006
13 Last Update Date 4/10/2008
14 Authorized Official Last Name HARRIS
15 Authorized Official First Name MARK
16 Authorized Official Middle Name J
17 Authorized Official Title or Position MEMBER
18 Authorized Official Telephone Number 3372648121
19 Healthcare Provider Taxonomy Code 1 283Q00000X
20 Provider License Number State Code 1 TX
21 Healthcare Provider Primary Taxonomy Switch 1 Y
22 Other Provider Identifier 1 454107
23 Other Provider Identifier Type Code 1 04
24 Other Provider Identifier State 1 TX
25 Is Organization Subpart N
26 Authorized Official Name Prefix Text MR.

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This page was last updated on: 10/12/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.