THAT 1 HOME NPI 1114769130

NPI Information

  • NPI: 1114769130
  • Provider Name: THAT 1 HOME
  • Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
  • Entity Type: Organization
  • Address: 19126 MOSSY HEDGE LN
    KATY, TX
    ZIP 77449
  • Phone: (832) 785-4089

Map and Directions

Get Directions

NPI Details

THAT 1 HOME is a community based residential treatment facility, intellectual and/or developmental disabilities in Katy, 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. THAT 1 HOME NPI is 1114769130. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

19126 MOSSY HEDGE LN
KATY, TX
ZIP 77449-133
Phone: (832) 785-4089

The provider's authorized official is Deandra Johnson-egesi .
The authorized official title is Program Manager and has the following contact phone number (832) 785-4089.

The enumeration date for this NPI number is 6/10/2024 and was last updated on 6/19/2024.

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
1163W00000XRegistered NurseNo
2163WA2000XRegistered NurseAdministratorNo
3171M00000XCase Manager/Care CoordinatorNo
4320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes
5364SL0600XClinical Nurse SpecialistLong-Term CareNo

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

NPI Synchronization or Removal

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.

Previous NPI
Next NPI