TULA DESHA JEFFERSON RN NPI 1881343713

NPI Information

  • NPI: 1881343713
  • Provider Name: TULA DESHA JEFFERSON, RN
  • Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 14823 WINSTON FALLS LN
    HUMBLE, TX
    ZIP 77396
  • Phone: (214) 808-7889

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NPI Details

Tula Desha Jefferson, RN is a community based residential treatment facility, intellectual and/or developmental disabilities in Humble, 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. Tula Desha Jefferson, RN NPI is 1881343713. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

14823 WINSTON FALLS LN
HUMBLE, TX
ZIP 77396-073
Phone: (214) 808-7889

The NPI 1881343713 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/19/2022 and was last updated on 7/12/2024.

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 Nurse867767TEXASNo
2363LP0808XNurse PractitionerPsychiatric/Mental Health1144604TEXASNo
3320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

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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