TWENTY TWO PACK MANAGEMENT CORP. (NPI# 1689843484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689843484 |
| Entity Type | Organization |
| Organization Name | TWENTY TWO PACK MANAGEMENT CORP. |
| Other Organization Name | EDENBROOK OF CHAMPIONS |
| Practice Address |
14050 Cutten Rd Houston TX 77069-2229 |
| Practice Telephone | 2818669898 |
| Practice Fax Number | 2818669933 |
| Mailing Telephone | 2818669898 |
| Mailing Fax Number | 2818669933 |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2008-02-26 |
| Authorized Official Name | TAB WERNER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2818669898 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Edenbrook of Champions | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194136366 | Twenty Two Pack Management Corp. | Assisted Living Facility | 1385 Silver Bluff Rd, Aiken, SC 29803-8860 | 2014-05-09 |
| 1497965495 | Twenty Two Pack Management Corp. | Assisted Living Facility | 3000 Midway Rd, Plano, TX 75093-6121 | 2007-05-22 |
| Street Address |
14050 CUTTEN RD |
| City | HOUSTON |
| State | TX |
| Zip Code | 77069-2229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679705487 | Hbp Leaseco, L.L.C. | Alzheimer Center (Dementia Center) | 14050 Cutten Rd, Houston, TX 77069-2229 | 2009-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174080659 | Brittanny Lea Gormer | Behavior Technician | 4606 Farm To Market 1960 Rd W Suite 419, Houston, TX 77069 | 2019-02-21 |
| 1417452889 | Kenyatta Robinson | Nurse Practitioner | 5603 Farm To Market 1960 Rd W, Houston, TX 77069 | 2018-03-28 |
| 1962921155 | Chew Transportation | Non-emergency Medical Transport (VAN) | 13313 Cutten Rd., Apt. 2203, Houston, TX 77069 | 2017-09-19 |
| 1639697071 | Nancy Wade | Behavior Technician | 13313 Cutten Rd. Apt. 2203, Houston, TX 77069 | 2017-09-06 |
| 1649716432 | Fresh Start Therapeutic Services LLC | Counselor | 5222 Fm 1960 Rd W Ste 175, Houston, TX 77069 | 2017-01-17 |
| 1568919017 | Jasmine Ned | Home Health Aide | 5959 1960 W Rd, Apt 621, Houston, TX 77069 | 2016-09-01 |
| 1528415007 | Gracesprings Healthcare Services | Day Training, Developmentally Disabled Services | 4606 Fm 1960 Rd W, Ste 322, Houston, TX 77069 | 2016-05-16 |
| 1164887923 | Beatrice Huong Pham | Pharmacist | 7075 Fm1960 W., Houston, TX 77069 | 2015-12-22 |
| 1659746675 | Stediclinic Pllc | Nurse Practitioner | 4560 Fm 1960 Rd W Ste 106, Houston, TX 77069 | 2015-12-02 |
| 1053719799 | Mann Eye Center, Pa | Optometrist | 6927 Fm 1960 West, Suite D, Houston, TX 77069 | 2014-12-11 |
| Find all providers in zip 77069 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912507690 | Bolville LLC | Assisted Living Facility | 9898 Bissonnet St Ste 419, Houston, TX 77036-8025 | 2020-10-30 |
| 1679187975 | Arc Willowbrook, LLC | Assisted Living Facility | 7450 Willow Chase Blvd, Houston, TX 77070-5867 | 2020-09-03 |
| 1033737556 | Genoa Senior Inc | Assisted Living Facility | 12809 Almeda Genoa Rd, Houston, TX 77034-4637 | 2020-07-10 |
| 1891313870 | William Andrew Miller Jr. | Assisted Living Facility | 9715 Beckwood Post Dr, Houston, TX 77095-5077 | 2020-07-07 |
| 1700400405 | Carewood Home LLC | Assisted Living Facility | 15526 Empanada Dr, Houston, TX 77083-4033 | 2020-05-29 |
| 1811518863 | Heavenly Manor Assisted Living LLC | Assisted Living Facility | 12802 Leitrim Way, Houston, TX 77047-3726 | 2020-04-30 |
| 1740814185 | Above All Needs LLC | Assisted Living Facility | 13423 Country Path Way, Houston, TX 77038-2448 | 2020-02-25 |
| 1104456185 | River Oaks Senior Living LLC | Assisted Living Facility | 4 Briar Dale Ct, Houston, TX 77027 | 2020-01-18 |
| 1750920914 | Home of Blessing | Assisted Living Facility | 13346 Silverglen Run Trl, Houston, TX 77014-2225 | 2020-01-04 |
| 1083253066 | Okechukwu James Agbasiele | Assisted Living Facility | 9001 S Braeswood Blvd Apt 506, Houston, TX 77074-2328 | 2019-12-23 |
| 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.