1326462813 NPI number — RESIDENTIAL CARE HOMES OF AMERICA

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 1326462813 NPI number — RESIDENTIAL CARE HOMES OF AMERICA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RESIDENTIAL CARE HOMES OF AMERICA
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:
1326462813
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/05/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 961
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HELOTES
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78023-0961
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10410 PARRIGIN ROAD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HELOTES
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78023-0961
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
210-540-8288
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/05/2014

Additional Information

Authorized Official

Authorized Official Last Name:
KITCHEN
Authorized Official First Name:
DANIEL
Authorized Official Middle Name:
Authorized Official Title or Position:
MANAGER
Authorized Official Telephone Number:
210-540-8288

Provider Taxonomy Codes

  • Taxonomy code: 310400000X , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2024 www.npivalidator.com