DEVELOPMENTAL DISABILITIES MANAGEMENT SERVICES OF HOUSTON, LLC (NPI# 1902203714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902203714 |
| Entity Type | Organization |
| Organization Name | DEVELOPMENTAL DISABILITIES MANAGEMENT SERVICES OF HOUSTON, LLC |
| Practice Address |
2406 San Jacinto Dr Pasadena TX 77502-4403 |
| Mailing Address |
4115 Galveston Rd Houston TX 77017-2518 |
| Practice Telephone | 7134752220 |
| Mailing Telephone | 7134752220 |
| Enumeration Date | 2014-11-21 |
| Last Update Date | 2014-11-21 |
| Authorized Official Name | WAYNE ADDISON (COO) |
| Authorized Official Telephone | 9016925555 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | TX | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | APPLIED FOR | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528465333 | Developmental Disabilities Management Services of Houston, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2601 Henderson Ln, Deer Park, TX 77536-4809 | 2014-11-21 |
| 1093112807 | Developmental Disabilities Management Services of Houston, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 913 E X St, Deer Park, TX 77536-3729 | 2014-11-21 |
| 1801293618 | Developmental Disabilities Management Services of Houston, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 9734 Shell Rock Rd, La Porte, TX 77571-4121 | 2014-11-21 |
| 1124425038 | Developmental Disabilities Management Services of Houston, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3602 Windsor Dr, Deer Park, TX 77536-6180 | 2014-11-21 |
| 1992102701 | Developmental Disabilities Management Services of Houston, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5126 Bosworth St, Houston, TX 77017-4002 | 2014-11-21 |
| 1811394620 | Developmental Disabilities Management Services of Houston, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 314 Ravenhead Dr, Houston, TX 77034-1524 | 2014-11-21 |
| 1437556248 | Developmental Disabilities Management Services of Houston, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5205 Meadow Place Dr, La Porte, TX 77571-2820 | 2014-11-21 |
| 1588061493 | Developmental Disabilities Management Services of Houston, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4314 Ponca St, Pasadena, TX 77504-3553 | 2014-11-21 |
| 1043617954 | Developmental Disabilities Management Services of Houston, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2012 Judy Ln, Pasadena, TX 77502-3702 | 2014-11-21 |
| 1053718965 | Developmental Disabilities Management Services of Houston, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2301 Olive Cir, Baytown, TX 77520-5775 | 2014-11-21 |
| Street Address |
2406 SAN JACINTO DR |
| City | PASADENA |
| State | TX |
| Zip Code | 77502-4403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265658710 | Special Texas Homes, Inc. | Intermediate Care Facility, Mentally Retarded | 2406 San Jacinto Dr, Pasadena, TX 77502-4403 | 2007-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306310040 | Daniel Max & Marcandrea LLC | Optometrist | 310 Southmore Ave, Pasadena, TX 77502 | 2019-01-16 |
| 1700393931 | Michelle D Hanson | Family Medicine | 1430 Pasadena Blvd Ste A, Pasadena, TX 77502 | 2018-01-09 |
| 1164952693 | Christopher James Coroneos | Student in an Organized Health Care Education/Training Program | 1515 Holocombe Blvd. The University of Texas Md Anderso, Houston, TX 77502 | 2017-06-18 |
| 1205368529 | National Vision, Inc. | Technician/Technologist | 1008 E Southmore Ave, Suite 120, Pasadena, TX 77502 | 2017-03-28 |
| 1265973101 | Ahmad Khalil | Dentist | 1313 Strawberry Rd, Pasadena, TX 77502 | 2017-03-11 |
| 1609242486 | Abc Dentistry Strawberry, Pllc | Dentist | 1319 Strawberry, Pasadena, TX 77502 | 2015-08-17 |
| 1578812079 | Apollo Healthcare At Bay Area, Lp | Skilled Nursing Facility | 4900 E. Sam Houston South, Pasadena, TX 77502 | 2012-08-30 |
| 1487956553 | Kkt Medical, Pllc | Clinic/Center | 2615 Strawberry Road, Pasadena, TX 77502 | 2010-11-23 |
| 1780811604 | Richard Daniel Hall | Chiropractor | 1210 W Allendale Rd, Pasadena, TX 77502 | 2009-06-18 |
| 1285880435 | Angel Amador Roman | Dentist | 2515 Strawberry, Pasadena, TX 77502 | 2008-08-07 |
| Find all providers in zip 77502 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588061493 | Developmental Disabilities Management Services of Houston, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4314 Ponca St, Pasadena, TX 77504-3553 | 2014-11-21 |
| 1043617954 | Developmental Disabilities Management Services of Houston, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2012 Judy Ln, Pasadena, TX 77502-3702 | 2014-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619581782 | Joyful Psalm | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1354 Ravenwood Ct, Crowley, TX 76036-3472 | 2020-09-04 |
| 1790394161 | Modern Vintage Residential Care, LLC. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4015 Alexis Tate Cir, Missouri City, TX 77459-5039 | 2020-07-30 |
| 1285253856 | 1 Care Premier Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 340 N Sam Houston Pkwy E Ste A247, Houston, TX 77060-3305 | 2020-04-13 |
| 1568093888 | James Micah Howard | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 11911 Lakewood Trl, Tomball, TX 77377-8563 | 2020-01-27 |
| 1518507110 | Gems Residence LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5810 Liverpool St, Aubrey, TX 76227-1909 | 2020-01-10 |
| 1366081812 | Abundant Care Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1100 Maxfield St, Waco, TX 76705-2967 | 2020-01-02 |
| 1306487426 | Fort Healthcare LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5833 Oakbend Trail, #200, Fort Worth, TX 76132-3900 | 2019-09-30 |
| 1144877481 | Boniswa Portia Maduna | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 8000 Cook Rd Apt 1109, Houston, TX 77072-3939 | 2019-08-21 |
| 1871148171 | Kenneth Allen | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 135 E Menefee St, Lufkin, TX 75901-4701 | 2019-08-05 |
| 1124673553 | 1st A & M Healthcare Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 504 Spicewood Dr, Desoto, TX 75115-1485 | 2019-08-02 |
| 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.