REVERED TEXAN HEARTH & HOME LLC NPI 1487945705

NPI Information

  • NPI: 1487945705
  • Provider Name: REVERED TEXAN HEARTH & HOME, LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Address: 1005 SYCAMORE ST
    LAKE JACKSON, TX
    ZIP 77566
  • Phone: (979) 266-9982

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NPI Details

REVERED TEXAN HEARTH & HOME, LLC is an assisted living facility in Lake Jackson, 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. REVERED TEXAN HEARTH & HOME, LLC NPI is 1487945705. The provider is registered as an organization entity type.

The provider's business location address is:

1005 SYCAMORE ST
LAKE JACKSON, TX
ZIP 77566-137
Phone: (979) 266-9982
Fax: (979) 266-9982

The provider's authorized official is Karen Denise Ashcraft .
The authorized official title is Owner/manager and has the following contact phone number (979) 266-9982.

The enumeration date for this NPI number is 4/20/2011 and was last updated on 4/20/2011.

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 Facility130441TEXASYes

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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