DEONDRA R HARDEMON (NPI# 1982889655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982889655 |
| Entity Type | Organization |
| Organization Name | DEONDRA R HARDEMON |
| Practice Address |
4006 Ripplebrook Dr Houston TX 77045-5518 |
| Practice Telephone | 7139339595 |
| Practice Fax Number | 8667038463 |
| Mailing Telephone | 7139339595 |
| Mailing Fax Number | 8667038463 |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2008-08-29 |
| Authorized Official Name | MS. DEONDRA ROCHELLE HARDEMON (CEO) |
| Authorized Official Telephone | 7139339595 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Street Address |
4006 RIPPLEBROOK DR |
| City | HOUSTON |
| State | TX |
| Zip Code | 77045-5518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730445271 | Prosperity Care LLC | Exclusive Provider Organization | 4006 Ripplebrook Dr, Houston, TX 77045-5518 | 2012-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740822568 | Johnancia Latoya Jnobaptiste | Non-emergency Medical Transport (VAN) | 14010 Buffalo Speedway, Houston, TX 77045 | 2019-10-14 |
| 1407338866 | Maureen Chinyere Onyejiaka | Home Health Aide | 7306 Logcradle Dr, Houston, TX 77045 | 2018-09-02 |
| 1265924344 | Paradigm 7 Pharmacy Pllc | Pharmacy | 12154 Almeda Rd, Houston, TX 77045 | 2018-06-04 |
| 1710408448 | Ultimate Wellness Providers Co | Clinic/Center | 3203 Kelling Street, Houston, TX 77045 | 2017-07-03 |
| 1376086058 | Post Oak Dialysis & Kidney Center | Clinic/Center | 13211 S. Post Oak Rd, Houston, TX 77045 | 2016-11-29 |
| 1841688777 | Gilltop Pharmacy LLC | Pharmacy | 14522 South Post Oak, Ste 108a, Houston, TX 77045 | 2014-12-30 |
| 1699025510 | Anh Phuong Pham | Dentist | 4318 W Fuqua, Houston, TX 77045 | 2012-09-18 |
| 1144520354 | Fostering Opportunities Creating Unlimited Success | Foster Care Agency | 14211 Mccadden, Houston, TX 77045 | 2010-10-22 |
| 1922219351 | A.b. Hurd | Pharmacist | 4420 W. Orem, Suite B, Houston, TX 77045 | 2007-05-25 |
| 1053447607 | Donald Columbus Porter | Dentist | 13324 One Half Almeda Rd, Houston, TX 77045 | 2007-02-26 |
| Find all providers in zip 77045 | ||||
| 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.