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AA1 HOME & COMMUNITY BASE SERVICES NPI 1982221701


NPI Information

NPI: 1982221701
Provider Name: AA1 HOME & COMMUNITY BASE SERVICES

Other Name: AA1- HOME & COMMUNITY BASE SERVICES LLC

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
26630 BELLWOOD PINES DR
KATY, TX
ZIP 77494
Phone: (832) 659-6895
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AA1 HOME & COMMUNITY BASE SERVICES is a community based residential treatment facility mental illness in Katy, TX. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. AA1 HOME & COMMUNITY BASE SERVICES NPI is 1982221701. The provider is registered as an organization entity type.
The provider Other Name Is Aa1- Home & Community Base Services Llc.

The provider's business location address is:

26630 BELLWOOD PINES DR
KATY, TX
ZIP 77494-556
Phone: (832) 659-6895

The provider's authorized official is Gloria Enoruwa Omigie .
The authorized official title is Ceo and has the following contact phone number (832) 659-6895.

The enumeration date for this NPI number is 6/27/2020 and was last updated on 8/25/2023.


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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
2320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo
3320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo
4322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenNo
5320800000XCommunity Based Residential Treatment Facility, Mental IllnessYes

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: 5/5/2024

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