KIMMONS CARE INC. (NPI# 1316430937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316430937 |
| Entity Type | Organization |
| Organization Name | KIMMONS CARE INC. |
| Practice Address |
1636 Summer City Dr Houston TX 77047-3418 |
| Practice Telephone | 9012465376 |
| Mailing Telephone | 9012465376 |
| Enumeration Date | 2018-06-08 |
| Last Update Date | 2018-06-08 |
| Authorized Official Name | BRANDON KIMMONS (DIRECTOR/PRESIDENT) |
| Authorized Official Telephone | 9012465376 |
| Authorized Official Credential | M.ED. |
| 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 |
| Street Address |
1636 SUMMER CITY DR |
| City | HOUSTON |
| State | TX |
| Zip Code | 77047-3418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528693827 | Gloss Dental | Dentist | 1416 W Orem Dr, Houston, TX 77047 | 2020-03-06 |
| 1093347486 | Kayla A Johnson | Nurse Practitioner | 1540 Summer City Dr, Houston, TX 77047 | 2020-02-04 |
| 1548802432 | Patsy Ward | Technician | 12707 Claygate Dr., Houston, TX 77047 | 2019-10-11 |
| 1245895242 | Chinedu Nwabuona | Pharmacist | 12627 City Village Lane, Houston, TX 77047 | 2019-05-06 |
| 1417422866 | Adetola Adeosun | Occupational Therapist | 11931 Harristown Dr, Houston, TX 77047 | 2018-10-11 |
| 1730694787 | City Park Care Center, LLC | Skilled Nursing Facility | 12262 Cityscape Avenue, Houston, TX 77047 | 2017-12-12 |
| 1033591151 | Latina Baxter | Doula | 2814 Trinity Glen Ln., Houston, TX 77047 | 2015-06-25 |
| 1114336807 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 10200 Cullen Blvd, Houston, TX 77047 | 2014-08-06 |
| 1871915363 | Latoya Mitchell | Speech-Language Pathologist | 3027 Westwood Manor Lane, Houston, TX 77047 | 2014-01-17 |
| 1801227665 | Rediate Negash | Nurse Practitioner | 3550 Swingle Rd Ms Bcm 700, Houston, TX 77047 | 2013-12-04 |
| Find all providers in zip 77047 | ||||
| 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 | ||||
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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.