1447397856 NPI number — AMERICAN HABILITATION SERVICES

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1447397856 NPI number — AMERICAN HABILITATION SERVICES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AMERICAN HABILITATION SERVICES
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1447397856
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/02/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9050 N CAPITAL OF TEXAS HWY
Provider Second Line Business Mailing Address:
BLDG 3 - SUITE 130
Provider Business Mailing Address City Name:
AUSTIN
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78759-7268
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
512-236-1312
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9050 N CAPITAL OF TEXAS HWY
Provider Second Line Business Practice Location Address:
BLDG 3, SUITE 130
Provider Business Practice Location Address City Name:
AUSTIN
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78759-7268
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
512-236-1312
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/01/2007

Additional Information

Authorized Official

Authorized Official Last Name:
CLAPP
Authorized Official First Name:
DENNIS
Authorized Official Middle Name:
R
Authorized Official Title or Position:
CONTROLLER
Authorized Official Telephone Number:
512-236-1312

Provider Taxonomy Codes

  • Taxonomy code: 315P00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 000374902 . This is a "BIG SKY RANCH ICF" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 000375702 . This is a "MARIAH FLATS ICF" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 000723502 . This is a "CASA DE CONCHO" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 0003693202 . This is a "MIMOSA ICF" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 000377002 . This is a "MESQUITE VILLA ICF" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 000360902 . This is a "TRES RIOS ICF" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 000740102 . This is a "CAPITAL HEIGHTS ICF" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 000379202 . This is a "COMANCHE FLATS ICF" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 000758202 . This is a "TERRACE PLACE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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