THADDEUS GIBSON


Address: 15638 Western Skies Dr, Houston, TX 77086-1169
Phone: 8327563681

THADDEUS GIBSON (NPI# 1699394320) 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) 1699394320
Entity Type Individual
Full Name THADDEUS GIBSON
Practice Address 15638 Western Skies Dr
Houston
TX 77086-1169
Practice Telephone 8327563681
Mailing Telephone 8327563681
Enumeration Date 2020-04-13
Last Update Date 2020-04-13
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320800000X Community Based Residential Treatment Facility, Mental Illness Residential Treatment Facilities
N 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities
N 323P00000X Psychiatric Residential Treatment Facility Residential Treatment Facilities
N 385HR2060X Respite Care
Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child
Respite Care Facility

Other Providers THADDEUS GIBSON

NPI Name Taxonomy Address Enumeration
1619587680 Thaddeus Rashad Gibson Case Manager/Care Coordinator 1336 E Main St, Columbus, OH 43205-2081 2020-08-05
1922666395 Thaddeus Gibson Physical Therapist 2100 Union Rd, West Seneca, NY 14224-1400 2019-05-31

Office Location

Street Address 15638 WESTERN SKIES DR
City HOUSTON
State TX
Zip Code 77086-1169

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NPI Name Taxonomy Address Enumeration
1871084004 Millicent Andrea Dallas Driver 10830 Heather Hill Dr, Houston, TX 77086 2018-05-23
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1265952667 Margaret M Wilson Speech-Language Pathologist 4100 N Sam Houston Parkway W Suite 240, Houston, TX 77086 2017-06-27
1376904920 Houston Compounding Pharmacy Inc Pharmacy 14002 Tomball Pkwy, #a, Houston, TX 77086 2016-03-10
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1831582659 Christine Kim Pinyopusarerk Dentist 11740 State Highway 249 Ste A, Houston, TX 77086 2015-03-18
1790121390 Antoine Health Clinic Inc. Chiropractor 11003 Antoine Dr. Ste.m, Houston, TX 77086 2013-05-22
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Taxonomy Information

Taxonomy Code 320800000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment Facility, Mental Illness

Taxonomy Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760961734 Sharion Lenese White Community Based Residential Treatment Facility, Mental Illness 12514 Berry Laurel Lane, Houston, TX 77014 2018-08-10
1427591494 Mia Davis Community Based Residential Treatment Facility, Mental Illness 5903 Grace Ln, Houston, TX 77021-3424 2016-11-23
1134675598 Mcr Home Sweet Home LLC Community Based Residential Treatment Facility, Mental Illness 7725 Pardee St, Houston, TX 77028-5235 2016-08-26
1760864789 Leslie Turner Community Based Residential Treatment Facility, Mental Illness 10910 Bridlepark Cir, Houston, TX 77016-1890 2015-06-25
1093118069 Dream Girls Community Based Residential Treatment Facility, Mental Illness 9234 Woodlyn Rd, Houston, TX 77078-3929 2014-10-03
1790191922 Johnyale Mcdaniel Community Based Residential Treatment Facility, Mental Illness 2626 S Loop W Ste 650a, Houston, TX 77054-5628 2014-07-09
1225455199 Allen's Residential Services Community Based Residential Treatment Facility, Mental Illness 5902 Lornia Lane, Houston, TX 77016 2014-03-27
1548511678 Rcj Healthcare Services Inc Community Based Residential Treatment Facility, Mental Illness 12502 Riva Ridge Ln, Houston, TX 77071-3223 2012-09-28
1962778936 Hattie M Gamble Community Based Residential Treatment Facility, Mental Illness 5823 Mount Houston Rd, Houston, TX 77050-5429 2012-03-23
1225303662 C'est La Vie,inc Community Based Residential Treatment Facility, Mental Illness 6666 Harwin Dr Ste 345, Houston, TX 77036-2261 2012-03-19
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Competitor

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City HOUSTON
Zip Code 77086

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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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