Outreach Assisted Living Facility 2 in Houston - Assisted Living Facility
Outreach Assisted Living Facility 2 - NPI 1104038264
Outreach Assisted Living Facility 2 is a Assisted Living Facility in Houston, Texas. Outreach Assisted Living Facility 2 practices all healthcare services and medical treatments related to Assisted Living Facility. The NPI Number for Outreach Assisted Living Facility 2 is 1104038264. The last update date is 2020-08-22.
Outreach Assisted Living Facility 2's current location address is 5010 Ridgeway Dr, Houston, Texas. You can contact this provider via phone number 7137310645 and fax number 7139985323. The mailing address for Outreach Assisted Living Facility 2 is 5010 Ridgeway Dr, Houston, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Outreach Assisted Living Facility 2 |
|---|---|
| Address | 5010 Ridgeway Dr, Houston, Texas |
| Phone Number | 7137310645 |
| Fax Number | 7139985323 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Clarke Vivard Fair |
| Credentials | LBSW |
| Telephone Number | 7134591753 |
NPI Number Detail
| NPI Number | 1104038264 |
|---|---|
| Provider Enumeration Date | 2007-05-03 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 5010 Ridgeway Dr |
|---|---|
| City | Houston |
| State | Texas (TX) |
| Post Code | 770333541 |
| Phone Number | 7137310645 |
| Fax Number | 7139985323 |
Provider's Primary Taxonomy Detail
| Speciality | Assisted Living Facility |
|---|---|
| Taxonomy | 310400000X |
| Licence No | 117656 VENDO |
|
Definition: 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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10026531 | TX | LTC PROVIDER |
Post Comment/ Review Below
What is the unique identifier code issued to Outreach Assisted Living Facility 2 by the Centers for Medicare & Medicaid Services (CMS)?
The Outreach Assisted Living Facility 2 has been assigned the NPI (National Provider Identifier) 1104038264. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Outreach Assisted Living Facility 2's facilities are geographically located?
The facilities of Outreach Assisted Living Facility 2 are physically situated at the following location: 5010 Ridgeway Dr, Houston, TX, 770333541.
What is the area of specialization for Outreach Assisted Living Facility 2, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Outreach Assisted Living Facility 2 is Assisted Living Facility, and the corresponding taxonomy code that categorizes this area of expertise is 310400000X.
On what date was the 1104038264 assigned to Outreach Assisted Living Facility 2?
The Outreach Assisted Living Facility 2 was issued its 1104038264 on 2007-05-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Outreach Assisted Living Facility 2's details last updated?
The information pertaining to the Outreach Assisted Living Facility 2, including its address, specialty, and other details, was most recently updated on 2020-08-22.