FAMILY TIES LIVING CENTER


Address: 18707 Timbers Trace Drive, Humble, TX 77346
Phone: 8326300352

FAMILY TIES LIVING CENTER (NPI# 1194267187) 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) 1194267187
Entity Type Organization
Organization Name FAMILY TIES LIVING CENTER
Other Organization Name FAMILY TIES LIVING CENTER
Practice Address 18707 Timbers Trace Drive
Humble
TX 77346
Mailing Address 18707 Timbers Trace Dr
Humble
TX 77346-2672
Practice Telephone 8326300352
Mailing Telephone 8326300352
Enumeration Date 2016-11-08
Last Update Date 2016-11-08
Authorized Official Name YOLANDA YVETTE HENDERSON (PROGRAM MANAGER)
Authorized Official Telephone 8326300352
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0850X Clinic/Center
Specialization: Adult Mental Health
TX Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Family Ties Living Center Doing Business As Name - Organization

Office Location

Street Address 18707 TIMBERS TRACE DRIVE
City HUMBLE
State TX
Zip Code 77346

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1124422415 Christopher Roath Behavioral Analyst 5364 Farm To Market 1960 Rd E, Humble, TX 77346 2014-10-15
1982004099 Kimberly Fulghum Registered Nurse 19406 Texas Laurel Trl, Humble, TX 77346 2014-08-26
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Taxonomy Information

Taxonomy Code 261QM0850X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Notes: [7/1/2003: new]

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Competitor

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City HUMBLE
Zip Code 77346

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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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