STADIUM EMERGENCY SHELTER (NPI# 1427390624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427390624 |
| Entity Type | Organization |
| Organization Name | STADIUM EMERGENCY SHELTER |
| Practice Address |
21882 E Wallis Dr Porter TX 77365-5366 |
| Practice Telephone | 2813545930 |
| Practice Fax Number | 2813545935 |
| Mailing Telephone | 2813545930 |
| Mailing Fax Number | 2813545935 |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2013-03-26 |
| Authorized Official Name | LEE PRESTON (FOUNDER) |
| Authorized Official Telephone | 2813545930 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 1442966 | TX | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083969562 | Stadium Emergency Shelter | Respite Care | 21882 E Wallis Dr, Porter, TX 77365-5366 | 2012-07-19 |
| Street Address |
21882 E WALLIS DR |
| City | PORTER |
| State | TX |
| Zip Code | 77365-5366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083969562 | Stadium Emergency Shelter | Respite Care | 21882 E Wallis Dr, Porter, TX 77365-5366 | 2012-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235764101 | Brenda Lee Kyger-skidgel | Counselor | 22865 Mersey Ct., Porter, TX 77365 | 2020-03-11 |
| 1003456716 | Samer A Faraj Dds Ms Pllc | Dentist | 23762 Us 59 Ste A, Porter, TX 77365 | 2020-01-10 |
| 1013561505 | Touchstone Strategies - Mc2 LLC | Skilled Nursing Facility | 23200 Valley Ranch Parkway, Porter, TX 77365 | 2019-08-01 |
| 1386201366 | Tnn Dental, Pllc | Clinic/Center | 23896 Tx-494 Loop, Porter, TX 77365 | 2019-05-24 |
| 1235792771 | Med Point Pharmacy LLC | Pharmacy | 21013 Old Sorters Rd Ste C, Porter, TX 77365 | 2019-04-19 |
| 1992275374 | Rozanne Bailey Allred | Nurse Practitioner | 22947 Volga Dr, Porter, TX 77365 | 2018-11-28 |
| 1801378849 | Northeast Houston Dental Specialists Pllc | Dentist | 23762 Us 59, Porter, TX 77365 | 2018-09-06 |
| 1275013716 | Suzanne Louise Jones | Registered Nurse | 110 Cypress Station Dr., Ste 270, Porter, TX 77365 | 2018-08-15 |
| 1174010490 | Feel Better Consulting LLC | Clinic/Center | 21898 Fm 1314 Suite B, Porter, TX 77365 | 2018-04-23 |
| 1881102473 | Amam53 Pllc | Dentist | 21693 Fm 1314, Porter, TX 77365 | 2018-01-17 |
| Find all providers in zip 77365 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063030054 | Life's Purpose | Residential Treatment Facility, Emotionally Disturbed Children | 1211 Lark Ln, Richmond, TX 77469-7803 | 2020-07-07 |
| 1588293112 | Angelica Marie Griffin | Residential Treatment Facility, Emotionally Disturbed Children | 12500 Shadowglen Trace 3204, Manor, TX 78653 | 2020-04-06 |
| 1639702236 | The Landing At Corpus Christi | Residential Treatment Facility, Emotionally Disturbed Children | 2058 Fm 665, Corpus Christi, TX 78415 | 2020-02-21 |
| 1083158943 | Pinnacle Hc LLC | Residential Treatment Facility, Emotionally Disturbed Children | 980 S Coit Rd, 1322, Prosper, TX 75078-2989 | 2016-12-12 |
| 1932558517 | The Eunice House, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 1114 Watson Crossing Way, Houston, TX 77067-1627 | 2016-06-06 |
| 1033577119 | 2nd Chanze Organization | Residential Treatment Facility, Emotionally Disturbed Children | 27102 Breton Bridge Ct, Cypress, TX 77433-7552 | 2016-02-04 |
| 1780073452 | Oyin'da LLC | Residential Treatment Facility, Emotionally Disturbed Children | 5551 Latta Plantation Dr, Katy, TX 77449-1557 | 2015-01-17 |
| 1376883322 | Angels With Open Arms | Residential Treatment Facility, Emotionally Disturbed Children | 6435 Tumbling Creek Trl, Dallas, TX 75241-5915 | 2013-02-27 |
| 1316201981 | Treathem, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 2904 1st St, Bay City, TX 77414-6828 | 2012-06-28 |
| 1588939532 | Turning Point Children's Social Services | Residential Treatment Facility, Emotionally Disturbed Children | 2224 Spring Creek Dr, Spring, TX 77373-6138 | 2012-03-08 |
| Find all providers with the same taxonomy | ||||
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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.