1447397856 NPI number — AMERICAN HABILITATION SERVICES

Table of content: (NPI 1447397856)

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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