FLORENCE BENNETT NPI 1376063024

NPI Information

  • NPI: 1376063024
  • Provider Name: FLORENCE BENNETT
  • Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
  • Entity Type: Organization
  • Doing Business As: DIVINITY CARE CENTER
  • Address: 6111 WILCREST DR
    HOUSTON, TX
    ZIP 77072
  • Phone: (713) 303-1325

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NPI Details

FLORENCE BENNETT is a residential treatment facility, intellectual and/or developmental 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 developmental and intellectual disabilities and are not able to live independently. FLORENCE BENNETT NPI is 1376063024. The provider is registered as an organization entity type.
The provider Is Doing Business As Divinity Care Center.

The provider's business location address is:

6111 WILCREST DR
HOUSTON, TX
ZIP 77072
Phone: (713) 303-1325
Fax: (713) 303-1325

The provider's authorized official is Florence N Bennett .
The authorized official title is Program Director and has the following contact phone number (713) 303-1325.

The enumeration date for this NPI number is 6/23/2017 and was last updated on 5/9/2019.

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
1251C00000XDay Training, Developmentally Disabled ServicesNo
2311ZA0620XCustodial Care FacilityAdult Care HomeTEXASNo
3320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo
4320600000XResidential Treatment Facility, Intellectual and/or Developmental Disabilities001007690TEXASYes

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
11700965167MEDICAIDTEXAS

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: 3/30/2025

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