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QUALITY LIFE HCS LLC NPI 1083843528


NPI Information

NPI: 1083843528
Provider Name: QUALITY LIFE HCS, LLC
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
4314 YOAKUM BLVD
HOUSTON, TX
ZIP 77006
Phone: (713) 850-0049
Get Directions

QUALITY LIFE HCS, LLC is a community based residential treatment facility, intellectual and/or developmental disabilities in Houston, 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. QUALITY LIFE HCS, LLC NPI is 1083843528. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4314 YOAKUM BLVD
HOUSTON, TX
ZIP 77006-818
Phone: (713) 850-0049
Fax: (713) 850-0036

The provider's authorized official is Leo J Borrell .
The authorized official title is Owner/president and has the following contact phone number (713) 850-0049.

The enumeration date for this NPI number is 7/6/2009 and was last updated on 5/10/2012.


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
1363L00000XNurse PractitionerNo
2363LF0000XNurse PractitionerFamilyNo
3363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
4363A00000XPhysician AssistantNo
5101Y00000XCounselorNo
6101YP2500XCounselorProfessionalNo
7103T00000XPsychologistNo
8103TC0700XPsychologistClinicalNo
9103TM1800XPsychologistIntellectual and Developmental DisabilitiesNo
10104100000XSocial WorkerNo
111041C0700XSocial WorkerClinicalNo
122084N0400XPsychiatry & NeurologyNeurologyNo
132084P0800XPsychiatry & NeurologyPsychiatryNo
14320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

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
1TXB142762MEDICARE PINTEXAS
2287815901MEDICAIDTEXAS

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

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