1942465372 NPI number — ALL FOR YOUTH REHAB. CTR. INC.

Table of content: HONG MING GAO (NPI 1689959009)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942465372 NPI number — ALL FOR YOUTH REHAB. CTR. INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ALL FOR YOUTH REHAB. CTR. 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:
1942465372
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/21/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7100 REGENCY SQUARE SQ
Provider Second Line Business Mailing Address:
STE 103B
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77036-5807
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
713-866-6505
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7100 REGENCY SQ STE
Provider Second Line Business Practice Location Address:
103B
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77036-5807
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-866-6505
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/24/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
MURRAY
Authorized Official First Name:
SHELDON
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
713-866-6505

Provider Taxonomy Codes

  • Taxonomy code: 101Y00000X , with the licence number:  19337 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101Y00000X , with the licence number: 20306 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 163W00000X , with the licence number: 227177 , 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)

  • Identifier: 170558401 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".