EDDIE LIVING INC (NPI# 1457631087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457631087 |
| Entity Type | Organization |
| Organization Name | EDDIE LIVING INC |
| Practice Address |
5509 Wipprecht St Houston TX 77026-1741 |
| Mailing Address |
Po Box 671646 Houston TX 77267-1646 |
| Practice Telephone | 7136330042 |
| Practice Fax Number | 2817498228 |
| Mailing Telephone | 7136330042 |
| Mailing Fax Number | 2817498228 |
| Enumeration Date | 2011-08-26 |
| Last Update Date | 2013-02-08 |
| Authorized Official Name | MS. SHERRIE LA'NIECE THOMPSON-JACKSON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2815415318 |
| Authorized Official Credential | DIRECTOR OF OPER |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1238428 | TX | Residential Treatment Facilities |
| N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 1238428 | TX | Residential Treatment Facilities |
| N | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 1238428 | TX | Residential Treatment Facilities |
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1238428 | TX | Residential Treatment Facilities |
| Street Address |
5509 WIPPRECHT ST |
| City | HOUSTON |
| State | TX |
| Zip Code | 77026-1741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265070163 | Yanet Perez Delgado | Registered Nurse | 4518 Russell St, Houston, TX 77026 | 2019-12-11 |
| 1114572344 | Zero-hassle Personal Care Services LLC | In Home Supportive Care | 3702 1/2 Broyles Street, Houston, TX 77026 | 2019-08-05 |
| 1356905392 | Adriana Ocon | Student in an Organized Health Care Education/Training Program | 5656 Kelly Street, Houston, TX 77026 | 2019-04-25 |
| 1891261152 | Recovery Solution Center | Substance Abuse Rehabilitation Facility | 3502 Brewster Streent, Unit 1, Houston, TX 77026 | 2018-10-15 |
| 1407255102 | Arlene M Bury Fiol | Obstetrics & Gynecology | 5656 Kelley Street, Rm 2ld-80-001, Lyndon B. Johnson General Hospital, Houston, TX 77026 | 2014-08-19 |
| 1619213386 | Haris Kamal | Psychiatry & Neurology | Harris Health Lbj Hospital, 5656 Kelley St, Houston, TX 77026 | 2012-12-27 |
| 1538484118 | Addie's Community Development Corp. | Durable Medical Equipment & Medical Supplies | 2610 Ivy St., Houston, TX 77026 | 2010-04-07 |
| 1306095021 | Ijeoma Ananaba Ekeruo | Emergency Medicine | 5550 Kelley St, Houston, TX 77026 | 2008-09-17 |
| 1407926090 | Levi Vincent Perry Sr. | Internal Medicine | 3502 Liberty Rd, Houston, TX 77026 | 2006-11-09 |
| 1376653139 | Clarence R Higgins Jr Md & Assoc Pa | Pediatrics | 4315 Lockwood Ste 9, Houston, TX 77026 | 2006-08-30 |
| Find all providers in zip 77026 | ||||
| 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.