DOMAIN LIVING CENTERS LLC (NPI# 1295252625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295252625 |
| Entity Type | Organization |
| Organization Name | DOMAIN LIVING CENTERS LLC |
| Practice Address |
9800 Braburn Glen Blvd # 326 Houston TX 77074 |
| Mailing Address |
9800 Braeburn Glen Blvd Apt 326 Houston TX 77074-2312 |
| Practice Telephone | (832) 267-6192 |
| Mailing Telephone | 8322676192 |
| Enumeration Date | 2017-08-25 |
| Last Update Date | 2017-08-25 |
| Authorized Official Name | ANITA GATES (C.E.O.) |
| Authorized Official Telephone | 8322676192 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
| N | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
Respite Care Facility | ||
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Street Address |
9800 BRABURN GLEN BLVD # 326 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285257527 | The Talk Center | Counselor | 502 Fondren Rd, Houston, TX 77074 | 2020-05-21 |
| 1598301715 | Concierge Counseling and Wellness, LLC | Counselor | 7332 Sw Freeway, #2010, Houston, TX 77074 | 2019-11-22 |
| 1588146922 | Adebisi Lawrence | Registered Nurse | 8300 Bissonnet Suite 375, Houston, TX 77074 | 2018-09-01 |
| 1093291718 | Jessica Mosley Demby | Counselor | The Harris Center for Mental Health and Idd, 9401 Southwest Freeway, Houston, TX 77074 | 2018-07-16 |
| 1114430329 | Ogbuka Joseph Onwuchekwa | Driver | 9100 Southwest Freeway #219, Houston, TX 77074 | 2017-11-09 |
| 1164934501 | Tiffany Danielle Miller | Home Health Aide | 7810 Nairn, Houston, TX 77074 | 2017-10-25 |
| 1760908297 | First Choice Home Dialysis LLC | Clinic/Center | 7737 Beechnut Street, Suite 204, Houston, TX 77074 | 2017-08-16 |
| 1144741869 | Emerald Total Care | In Home Supportive Care | 10101 Southwest Freeway Suit 400, Houston, TX 77074 | 2017-07-03 |
| 1851820294 | Sinai Hospice Care LLC | Hospice Care, Community Based | 8323 Sw Freeway, Suite #630, Houston, TX 77074 | 2017-06-08 |
| 1982139267 | Prime Gastroenterology, Pllc | Specialist | 7737 Southwest Medical, Suite 950, Houston, TX 77074 | 2017-04-25 |
| Find all providers in zip 77074 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285253856 | 1 Care Premier Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 340 N Sam Houston Pkwy E Ste A247, Houston, TX 77060-3305 | 2020-04-13 |
| 1144877481 | Boniswa Portia Maduna | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 8000 Cook Rd Apt 1109, Houston, TX 77072-3939 | 2019-08-21 |
| 1376104653 | Ladies Haven | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2525 Winrock Blvd Apt 122, Houston, TX 77057-4325 | 2019-06-26 |
| 1366005712 | Cogic | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 7809 Winship St, Houston, TX 77028-2441 | 2019-04-20 |
| 1891257382 | Amazing Grace Greater Homes LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 9231 Floral Crest Dr, Houston, TX 77083-6226 | 2019-04-03 |
| 1083172092 | Silver Lining Residential,llc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 8014 Montague Manor Ln, Houston, TX 77072-0124 | 2019-03-08 |
| 1922570712 | Katrina Williams | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 12214 Plumpoint Dr, Houston, TX 77099-3138 | 2018-12-18 |
| 1902376635 | Friendly Angels LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 15403 Town Green Dr, Houston, TX 77083-5539 | 2018-11-26 |
| 1851869358 | Wavuli Foundation | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 8542 Village Rose Ln, Houston, TX 77072-5649 | 2018-11-02 |
| 1083197966 | C&d Amazing Care Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 15226 Mission Forest Dr, Houston, TX 77083-7359 | 2018-09-07 |
| Find all providers in HOUSTON | ||||
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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.