MDR COMMUNITY LIVING (NPI# 1275867830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275867830 |
| Entity Type | Organization |
| Organization Name | MDR COMMUNITY LIVING |
| Other Organization Name | MDR COMMUNITY LIVING |
| Practice Address |
6000 Hollister St Apt 2711 Houston TX 77040-6878 |
| Practice Telephone | 8324556303 |
| Mailing Telephone | 8324556303 |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2009-09-29 |
| Authorized Official Name | MR. REGINALD LAMONTE LEWIS (PROGRAM ADMINSTRATOR) |
| Authorized Official Telephone | 8324556303 |
| Is Organization Subpart | N |
| 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 |
| Other Name | Type Code |
|---|---|
| MDR Community Living | Doing Business As Name - Organization |
| Street Address |
6000 HOLLISTER ST APT 2711 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77040-6878 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265998595 | Stephanie Lynn Villarreal | Nurse Practitioner | 17347 Village Green Drive, Houston, TX 77040 | 2019-02-12 |
| 1285116855 | Darlene Lestrick | Non-emergency Medical Transport (VAN) | 6518 Hampden Point Ct, Houston, TX 77040 | 2018-08-30 |
| 1659859916 | Jill Nicole Hurst | Dietitian, Registered | 6969 Hollister St., Apt 909, Houston, TX 77040 | 2018-07-30 |
| 1871083444 | Occuaptional Health Centers of The Southwest, P.a. | Clinic/Center | 17410 N.w. Freeway, Houston, TX 77040 | 2018-05-18 |
| 1538656111 | First Step To Recovery LLC | Substance Abuse Rehabilitation Facility | 7676 Hilmont, Suite 201, Houston, TX 77040 | 2018-04-18 |
| 1003311945 | Upthrust LLC | Non-emergency Medical Transport (VAN) | 7676 Hillmont St Ste 240e, Houston, TX 77040 | 2018-03-23 |
| 1952831737 | Allegra R Chopin | Technician | 7740 W Little York Rd, 2632, Houston, TX 77040 | 2017-06-14 |
| 1427509066 | Gary Chacon | Specialist/Technologist, Other | 9777 West Gulf Bank Rd, Suite 5, Houston, TX 77040 | 2016-10-19 |
| 1992253744 | Felicia Johnston | Counselor | 7787 Pinemont Dr. Suite B, Houston, TX 77040 | 2016-09-21 |
| 1285011841 | Michelle Callier | Occupational Therapist | 4423 Shadowdale, Houston, TX 77040 | 2015-05-04 |
| Find all providers in zip 77040 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750980686 | Mimshack Care Homes LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 12330 Springcrest Dr, Houston, TX 77072-3219 | 2020-10-21 |
| 1265047534 | Compassion Structured Living Center LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 13578 San Martin Ln, Houston, TX 77083-5135 | 2020-09-13 |
| 1871104299 | Shamira Ferguson | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10901 Mist Ln Apt 5104, Houston, TX 77070-4488 | 2020-08-10 |
| 1205444015 | Homestays By Brown Little & Gurl LLC. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2017 Gillette St, Houston, TX 77006-1531 | 2020-07-17 |
| 1184258923 | Bamal Solutions LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 13939 Westheimer Rd, Houston, TX 77077-5358 | 2020-03-02 |
| 1063046712 | Oasis Hcs and Txhml Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7930 Corporate Dr Apt 14, Houston, TX 77036-6533 | 2020-03-02 |
| 1942833850 | Big Trinity Cargo LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7015 Pouter Dr, Houston, TX 77083-3530 | 2020-02-19 |
| 1285264721 | A1 Healthcare LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10039 Bissonnet St Ste 219, Houston, TX 77036-7852 | 2020-01-23 |
| 1881237550 | Ark Infinitude | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2150 Bentworth Dr Apt 461, Houston, TX 77077-6223 | 2019-10-24 |
| 1821645532 | New Hope Hcs and Txhml Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6260 Westpark Dr Ste 230, Houston, TX 77057-7411 | 2019-08-19 |
| Find all providers in HOUSTON | ||||
Please comment or provide details below to improve the information on MDR COMMUNITY LIVING.
| 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.