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EDDIE LIVING INC NPI 1457631087


NPI Information

NPI: 1457631087
Provider Name: EDDIE LIVING INC
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
5509 WIPPRECHT ST
HOUSTON, TX
ZIP 77026
Phone: (713) 633-0042
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EDDIE LIVING INC 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. EDDIE LIVING INC NPI is 1457631087. The provider is registered as an organization entity type.

The provider's business location address is:

5509 WIPPRECHT ST
HOUSTON, TX
ZIP 77026-741
Phone: (713) 633-0042
Fax: (281) 749-8228

The provider's authorized official is Sherrie La'niece Thompson-jackson .
The authorized official title is Executive Director and has the following contact phone number (281) 541-5318.

The enumeration date for this NPI number is 8/26/2011 and was last updated on 2/8/2013.


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
1320600000XResidential Treatment Facility, Intellectual and/or Developmental Disabilities1238428TEXASNo
2320800000XCommunity Based Residential Treatment Facility, Mental Illness1238428TEXASNo
3320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities1238428TEXASYes
4322D00000XResidential Treatment Facility, Emotionally Disturbed Children1238428TEXASNo

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

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.