Provider Demographics
NPI:1043201437
Name:CONTINUUM HORNWOOD, LLC
Entity Type:Organization
Organization Name:CONTINUUM HORNWOOD, LLC
Other - Org Name:CONTINUUM HEALTHCARE, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BOBBY
Authorized Official - Middle Name:
Authorized Official - Last Name:ROUSE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:713-271-0000
Mailing Address - Street 1:6614 HORNWOOD DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-5010
Mailing Address - Country:US
Mailing Address - Phone:713-271-0000
Mailing Address - Fax:713-271-1991
Practice Address - Street 1:6614 HORNWOOD DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-5010
Practice Address - Country:US
Practice Address - Phone:713-271-0000
Practice Address - Fax:713-271-1991
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-03
Last Update Date:2007-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX021294601Medicaid
TX454632Medicare ID - Type Unspecified