THE HARRIS CENTER FOR MENTAL HEALTH AND IDD
Intermediate Care Facility, Mentally Retarded
Houston, Texas
Provider NPI: 1265528798
Organization Information:Organization Name: THE HARRIS CENTER FOR MENTAL HEALTH AND IDD
Practice Location:
9401 SOUTHWEST FWY HOUSTON, TX 77074 US
Tel: 713-970-7000 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
9401 SOUTHWEST FWY HOUSTON, TX 77074 US
Tel: 713-970-7000 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 315P00000X | Nursing & Custodial Care Facilities Intermediate Care Facility, Mentally Retarded | ||
N | 251C00000X | Agencies Day Training, Developmentally Disabled Services | ||
Y | 320900000X | Residential Treatment Facilities Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
000391002 | TX | 05 | |
STATE VENDOR ID# TX HML | 001010312 | TX | 01 |
000368801 | TX | 05 | |
000372101 | TX | 05 | |
STATE VENDOR ID# HCS | 001007288 | TX | 01 |
000780701 | TX | 05 | |
000781801 | TX | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin