AID-SOURCE, INC


Address: 5542 Hillman St, Houston, TX 77023-3807
Phone: 2818981199

AID-SOURCE, INC (NPI# 1053611913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053611913
Entity Type Organization
Organization Name AID-SOURCE, INC
Practice Address 5542 Hillman St
Houston
TX 77023-3807
Practice Telephone 2818981199
Enumeration Date 2010-10-26
Last Update Date 2010-10-26
Authorized Official Name LUNARDY MALDONADO (PRESIDENT)
Authorized Official Telephone 2818981199
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities

Office Location

Street Address 5542 HILLMAN ST
City HOUSTON
State TX
Zip Code 77023-3807

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1669813002 Cindy Campos Solorzano Nurse Practitioner 5402 Lawndale Street, Houston, TX 77023 2013-07-15
1831430982 Jayme C Smith Counselor 5402 Lawndale St., Kipp: 2 Kipp Rotation, Houston, TX 77023 2013-03-13
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1386921518 Joan Elizabeth Mcgee Registered Nurse 4600 Gulf Freeway, Houston, TX 77023 2011-11-16
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Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Notes: [7/1/2003: new]

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Competitor

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City HOUSTON
Zip Code 77023

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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