S & G COMMUNITY LIVING CENTER, INC. (NPI# 1063624237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063624237 |
Entity Type | Organization |
Organization Name | S & G COMMUNITY LIVING CENTER, INC. |
Other Organization Name | PEBBLESHIRE HOUSE |
Practice Address |
7865 Pecan Villas Houston TX 77061 |
Mailing Address |
P.o. Box 686 League City TX 77574 |
Practice Telephone | 7135981471 |
Practice Fax Number | 2813347850 |
Mailing Telephone | 7135981471 |
Mailing Fax Number | 2813347850 |
Enumeration Date | 2007-05-03 |
Last Update Date | 2007-08-10 |
Authorized Official Name | MR. STEVE ALAN MULKEY (PRESIDENT) |
Authorized Official Telephone | 7135981471 |
Authorized Official Credential | QMRP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | TX | Residential Treatment Facilities | |
Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 117286 | TX | Nursing & Custodial Care Facilities |
Other Name | Type Code |
---|---|
Pebbleshire House | Doing Business As Name - Organization |
Street Address |
7865 PECAN VILLAS |
City | HOUSTON |
State | TX |
Zip Code | 77061 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932714763 | Tamisha E Vital | Social Worker | 8951 Ruthby Suite 6e, Houston, TX 77061 | 2020-09-09 |
1245843978 | Ralph Demar | Counselor | 8351 Ruthby St., #5e, Houston, TX 77061 | 2020-08-24 |
1750818795 | South Houston Chiropractic LLC | Chiropractor | 8101 Airport Blvd. Ste. A, Houston, TX 77061 | 2017-05-22 |
1871944678 | Odunayo Kajopelaye | Pharmacist | 290 Brisbane Road, Houston, TX 77061 | 2016-06-23 |
1316388358 | The Texas International Institute of Health Professions | Clinic/Center | 8121 Broadway Street, Suite 103, Houston, TX 77061 | 2013-07-06 |
1598001034 | Kathryn A Hale | Specialist | 8121 Broadway, Ste 103, Houston, TX 77061 | 2013-01-02 |
1023330511 | Louise A Weskob | Physical Therapist | 8405 Wynbrook, Houston, TX 77061 | 2010-02-24 |
1376740753 | Paula Jean West | Contractor | 8347 Doverst, Houston, TX 77061 | 2007-06-29 |
1609982701 | Hans P Altinger | Obstetrics & Gynecology | 7620 Bellfort Ave, Houston, TX 77061 | 2006-08-22 |
1881638286 | Pay Zen Cheng | General Practice | 7630 Bellfort Ave, Houston, TX 77061 | 2006-06-15 |
Find all providers in zip 77061 |
Taxonomy Code | 315P00000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Intermediate Care Facility, Mentally Retarded |
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467062869 | Affluent Health Care Services Inc. | Intermediate Care Facility, Mentally Retarded | 7542 Autumn Sun Dr, Houston, TX 77083-6915 | 2020-07-31 |
1083030357 | Embracing Angles | Intermediate Care Facility, Mentally Retarded | 4914 Teton St, Houston, TX 77033-3531 | 2014-03-11 |
1477978724 | Educare Community Living Corporation - Gulf Coast | Intermediate Care Facility, Mentally Retarded | 10507 Offer Dr, Houston, TX 77031-1801 | 2014-02-24 |
1871918417 | Educare Community Living Corporation - Gulf Coast | Intermediate Care Facility, Mentally Retarded | 7418 Antoine Dr, Houston, TX 77088-6707 | 2014-02-19 |
1861817405 | Educare Community Living Corporation - Gulf Coast | Intermediate Care Facility, Mentally Retarded | 9107 Spellman Rd, Houston, TX 77031-2222 | 2014-02-19 |
1023433679 | Educare Community Living Corporation - Gulf Coast | Intermediate Care Facility, Mentally Retarded | 8002 Fawn Terrace Dr, Houston, TX 77071-2723 | 2014-02-19 |
1588089130 | Educare Community Living Corporation - Gulf Coast | Intermediate Care Facility, Mentally Retarded | 12711 Shannon Hills Dr, Houston, TX 77099-1241 | 2014-02-19 |
1376820548 | Graphere Inc. | Intermediate Care Facility, Mentally Retarded | 1918 Wycliffe Dr, Houston, TX 77043-2706 | 2011-11-15 |
1215213236 | Rozebel Healthcare Services, Inc. | Intermediate Care Facility, Mentally Retarded | 9896 Bissonnet St Ste 335, Houston, TX 77036-8159 | 2011-10-24 |
1538467865 | Josephine Eudes Iwuh | Intermediate Care Facility, Mentally Retarded | 6211 Sonomaway, Houston, TX 77053-4347 | 2011-03-10 |
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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.