GODS INCREDIBLE LIGHT ON THE PATH TO HIS WORD FELLOWSHIP CENTER


Address: 13512 Homestead Rd, Houston, TX 77039-2726
Phone: 2814494382

GODS INCREDIBLE LIGHT ON THE PATH TO HIS WORD FELLOWSHIP CENTER (NPI# 1245897867) 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) 1245897867
Entity Type Organization
Organization Name GODS INCREDIBLE LIGHT ON THE PATH TO HIS WORD FELLOWSHIP CENTER
Practice Address 13512 Homestead Rd
Houston
TX 77039-2726
Mailing Address 6919 Sandy Knolls Dr
Spring
TX 77379-4822
Practice Telephone 2814494382
Practice Fax Number 2816673116
Mailing Telephone 2818300511
Mailing Fax Number 2816673116
Enumeration Date 2019-05-20
Last Update Date 2019-05-20
Authorized Official Name ANDROS SHEPPARD (SR PASTOR)
Authorized Official Telephone 2818300511
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Office Location

Street Address 13512 HOMESTEAD RD
City HOUSTON
State TX
Zip Code 77039-2726

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982130175 Andros Sheppard Driver 13512 Homestead Rd, Houston, TX 77039-2726 2017-05-07
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

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NPI Name Taxonomy Address Enumeration
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Competitor

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City HOUSTON
Zip Code 77039

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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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