1952458192 NPI number — AMERICAN HABILITATION SERVICES, INC

Table of content: (NPI 1952458192)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1952458192 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:
1952458192
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/04/2012
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:
01/03/2007

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: 000366003 . This is a "RINCON ICF" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 000370302 . This is a "NORTHVIEW ICF" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 000725803 . This is a "EIDER ICF" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 000375102 . This is a "HUMAN ICF" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 000387101 . This is a "CYPRESS ICF" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 000720403 . This is a "RICARDO ICF" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 000726503 . This is a "HARRISON ICF" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 000365103 . This is a "RIVERVIEW ICF" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 000365903 . This is a "ARANSAS PASS ICF" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 1020693 . This is a "NELON HOME" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 000376002 . This is a "WESTSIDE ICF" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 001000907 . This is a "SCHANEN ESTATES ICF" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 001020768 . This is a "ARCOLA GROUP HOME" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 000372202 . This is a "GREEN ACRES ICF" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 000372502 . This is a "SWEETBRIER ICF" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 000376702 . This is a "LEVELLAND ICF" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 000371902 . This is a "SOUTHPARK ICF" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 000366403 . This is a "EVENING STAR ICF" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 000370902 . This is a "SAN AUGUSTINE ICF" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 000374802 . This is a "SAN ANGELO ICF" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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