Avondale House in Houston - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities

Avondale House - NPI 1699842211

Avondale House is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Houston, Texas. Avondale House practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Avondale House is 1699842211. The last update date is 2008-08-01.

Avondale House's current location address is 3737 Omeara Dr, Houston, Texas. You can contact this provider via phone number 7139939544 and fax number 7139930751. The mailing address for Avondale House is 3737 Omeara Dr, Houston, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Avondale House
Address 3737 Omeara Dr, Houston, Texas
Phone Number 7139939544
Fax Number 7139930751
Sole Proprietor --
Credentials --

Authorized Official

Title or Position C.E.O.
Authorized Official Name Boyett Barbara
Telephone Number 7139939544

NPI Number Detail

NPI Number 1699842211
Provider Enumeration Date 2006-11-29
Last Updated Date 2008-08-01

Provider Mailing Address Detail

Address 3737 Omeara Dr
City Houston
State Texas (TX)
Post Code 770255560
Phone Number 7139939544
Fax Number 7139930751

Provider's Primary Taxonomy Detail

Speciality Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Taxonomy 320900000X
Licence No 115177
Definition:
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1000726 TX --

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FAQs about Avondale House

What is the unique identifier code issued to Avondale House by the Centers for Medicare & Medicaid Services (CMS)?

The Avondale House has been assigned the NPI (National Provider Identifier) 1699842211. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you share the physical location details of Avondale House?

The Avondale House is situated at 3737 Omeara Dr, in the city of Houston, state of TX, with the zip code 770255560.

What is Avondale House's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Avondale House is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy classification code for this specialized field is 320900000X.

On what date did the Avondale House receive the assignment of its 1699842211 from the Centers for Medicare & Medicaid Services?

The Avondale House was issued its 1699842211 by the Centers for Medicare & Medicaid Services on 2006-11-29.

As of what date was the information pertaining to Avondale House, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Avondale House, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-08-01.

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