OUTREACH ASSISTED LIVING FACILITY 2 NPI 1104038264

NPI Information

  • NPI: 1104038264
  • Provider Name: OUTREACH ASSISTED LIVING FACILITY 2
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Address: 5010 RIDGEWAY DR
    HOUSTON, TX
    ZIP 77033
  • Phone: (713) 459-1753

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NPI Details

OUTREACH ASSISTED LIVING FACILITY 2 is an assisted living facility in Houston, TX. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. OUTREACH ASSISTED LIVING FACILITY 2 NPI is 1104038264. The provider is registered as an organization entity type.

The provider's business location address is:

5010 RIDGEWAY DR
HOUSTON, TX
ZIP 77033-541
Phone: (713) 459-1753
Fax: (713) 988-5323

The provider's authorized official is Fair Vivard Clarke .
The authorized official title is Owner and has the following contact phone number (713) 459-1753.

The enumeration date for this NPI number is 5/3/2007 and was last updated on 8/22/2020.

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
1310400000XAssisted Living Facility117656 VENDOR 100958TEXASYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
110026531OTHERTEXASLTC PROVIDER

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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