Liberty Island Personal Care Home in Houston - Community Based Residential Treatment Facility, Mental Illness
Liberty Island Personal Care Home - NPI 1336310556
Liberty Island Personal Care Home is a Community Based Residential Treatment Facility, Mental Illness in Houston, Texas. Liberty Island Personal Care Home practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for Liberty Island Personal Care Home is 1336310556. The last update date is 2008-03-15.
Liberty Island Personal Care Home's current location address is 9009 Boone Rd, Houston, Texas. You can contact this provider via phone number 2815300000 and fax number 2815303735. The mailing address for Liberty Island Personal Care Home is 9009 Boone Rd, Houston, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Liberty Island Personal Care Home |
|---|---|
| Address | 9009 Boone Rd, Houston, Texas |
| Phone Number | 2815300000 |
| Fax Number | 2815303735 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR O |
|---|---|
| Authorized Official Name | Johnson Edward Charles |
| Telephone Number | 2815300000 |
NPI Number Detail
| NPI Number | 1336310556 |
|---|---|
| Provider Enumeration Date | 2008-03-15 |
| Last Updated Date | 2008-03-15 |
Provider Mailing Address Detail
| Address | 9009 Boone Rd |
|---|---|
| City | Houston |
| State | Texas (TX) |
| Post Code | 770992033 |
| Phone Number | 2815300000 |
| Fax Number | 2815303735 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
|---|---|
| Taxonomy | 320800000X |
| Licence No | 98700 |
|
Definition: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 80900 | TX | PERSONAL CARE HOME | |
| 98700 | TX | PERSONAL CARE HOME |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Liberty Island Personal Care Home by the Centers for Medicare & Medicaid Services?
The Liberty Island Personal Care Home has been issued the NPI (National Provider Identifier) 1336310556, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Liberty Island Personal Care Home is located?
The Liberty Island Personal Care Home is situated at the following address: 9009 Boone Rd, Houston, TX, 770992033.
What is Liberty Island Personal Care Home's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Liberty Island Personal Care Home is Community Based Residential Treatment Facility, Mental Illness, and the taxonomy code that classifies this field of practice is 320800000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1336310556 to Liberty Island Personal Care Home?
The Centers for Medicare & Medicaid Services assigned the 1336310556 to Liberty Island Personal Care Home on 2008-03-15.
When was the information pertaining to Liberty Island Personal Care Home most recently updated or revised?
The details related to Liberty Island Personal Care Home, including its address, specialty, and other relevant information, were last updated or revised on 2008-03-15.
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