ANDRE HANCOCK SR. FAMILY GROUP HOME


Address: 1012 Farm Market Road 2377, Red Oak, TX 75154
Phone: 2144606930

ANDRE HANCOCK SR. FAMILY GROUP HOME (NPI# 1396061685) 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) 1396061685
Entity Type Organization
Organization Name ANDRE HANCOCK SR. FAMILY GROUP HOME
Practice Address 1012 Farm Market Road 2377
Red Oak
TX 75154
Practice Telephone 2144606930
Enumeration Date 2010-04-13
Last Update Date 2010-04-13
Authorized Official Name IRMA CROSBY (PRESIDENT)
Authorized Official Telephone 2144606930
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities

Office Location

Street Address 1012 FARM MARKET ROAD 2377
City RED OAK
State TX
Zip Code 75154

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Taxonomy Information

Taxonomy Code 320600000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184890477 Nishna Productions, Inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 100 E Oak St, Red Oak, IA 51566-1544 2008-05-06

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City RED OAK
Zip Code 75154

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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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