PRIMAL RESIDENTIAL CARE SERVICES LLC NPI 1013883792

NPI Information

  • NPI: 1013883792
  • Provider Name: PRIMAL RESIDENTIAL CARE SERVICES LLC
  • Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
  • Entity Type: Organization
  • Address: 9422 THREE STONE LN
    TOMBALL, TX
    ZIP 77375
  • Phone: (703) 398-9323

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NPI Details

PRIMAL RESIDENTIAL CARE SERVICES LLC is a community based residential treatment facility, intellectual and/or developmental disabilities in Tomball, TX. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. PRIMAL RESIDENTIAL CARE SERVICES LLC NPI is 1013883792. The provider is registered as an organization entity type.

The provider's business location address is:

9422 THREE STONE LN
TOMBALL, TX
ZIP 77375-393
Phone: (703) 398-9323

The provider's authorized official is Mbwameh Kiambom Sama .
The authorized official title is Director and has the following contact phone number (703) 398-9323.

The enumeration date for this NPI number is 10/11/2025 and was last updated on 10/11/2025.

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
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

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: 11/21/2025

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