1679610349 NPI number — AMERICAN HABILITATION SERVICES, INC.

Table of content: (NPI 1679610349)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1679610349 NPI number — AMERICAN HABILITATION SERVICES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AMERICAN HABILITATION SERVICES, INC.
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:
1679610349
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:
1611 W 6TH ST
Provider Second Line Business Mailing Address:
SUITE A
Provider Business Mailing Address City Name:
AUSTIN
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78703-5073
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:
1611 W 6TH ST
Provider Second Line Business Practice Location Address:
SUITE A
Provider Business Practice Location Address City Name:
AUSTIN
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78703-5073
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:
01/31/2007

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: 251S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 001010508 . This is a "EL PASO TEXAS H L" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 001007030 . This is a "ABILENE WICHITA FALLS HCS" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 001007232 . This is a "HOUSTON HCS" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 001010150 . This is a "LONGVIEW TEXAS H L" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 001010443 . This is a "WEST COLUMBIA TEXAS H L" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 001007080 . This is a "DALLAS HCS" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 001007138 . This is a "LONGVIEW HCS" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 001007410 . This is a "WEST COLUMBIA HCS" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 001010033 . This is a "ABILENE TEXAS H L" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 001010087 . This is a "DALLAS TEXAS H L" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 001010543 . This is a "CORPUS CHRISTI TEXAS H L" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 001007503 . This is a "CORPUS CHRISTI HCS" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 001007469 . This is a "EL PASO HCS" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 001007002 . This is a "AMARILLO LUBBOCK HCS" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 001010002 . This is a "AMARILLO LUBBOCK TEXAS HL" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 001010251 . This is a "HOUSTON TEXAS H L" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 001007335 . This is a "CORSICANA HCS" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 001010359 . This is a "CORSICANA TEXAS H L" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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