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MENTIS NEURO HOUSTON LLC NPI 1174729347


NPI Information

NPI: 1174729347
Provider Name: MENTIS NEURO HOUSTON, LLC

Doing Business As: MENTIS NEURO HEALTH

Classification: Residential Treatment Facility, Physical Disabilities - 320700000X
Entity Type: Organization

CLIA Number: 45D2235722

Address:
9551 FANNIN
HOUSTON, TX
ZIP 77045
Phone: (713) 820-4216
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MENTIS NEURO HOUSTON, LLC is a residential treatment facility physical disabilities in Houston, TX. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently. MENTIS NEURO HOUSTON, LLC NPI is 1174729347. The provider is registered as an organization entity type.
The provider Is Doing Business As Mentis Neuro Health.

The provider's business location address is:

9551 FANNIN
HOUSTON, TX
ZIP 77045
Phone: (713) 820-4216
Fax: (713) 820-4220

The provider's authorized official is Mark L. Quigley .
The authorized official title is Chief Operating Officer and has the following contact phone number (713) 864-8996.

The CLIA number assigned to this NPI record is 45D2235722 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/25/2007 and was last updated on 8/17/2016.


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
1320700000XResidential Treatment Facility, Physical DisabilitiesNo
2320700000XResidential Treatment Facility, Physical Disabilities125338TEXASYes

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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