Provider Demographics
NPI:1205201324
Name:CENTER FOR PROFESSIONAL DEVLOPMENT & HEALTHCARE SERIVES, INC
Entity Type:Organization
Organization Name:CENTER FOR PROFESSIONAL DEVLOPMENT & HEALTHCARE SERIVES, INC
Other - Org Name:CPD HEALTHCARE SERVICES, INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR / CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:BEKEE
Authorized Official - Middle Name:
Authorized Official - Last Name:NWAKANMA
Authorized Official - Suffix:
Authorized Official - Credentials:LCDC,LNFA,MPA,EDD
Authorized Official - Phone:832-306-9519
Mailing Address - Street 1:PO BOX 300889
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77230-0889
Mailing Address - Country:US
Mailing Address - Phone:832-306-9519
Mailing Address - Fax:713-270-7396
Practice Address - Street 1:8506 OLD BROOK DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77071-2442
Practice Address - Country:US
Practice Address - Phone:832-306-9519
Practice Address - Fax:713-270-7396
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-02
Last Update Date:2015-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4015251B00000X, 324500000X
253Z00000X, 310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No253Z00000XAgenciesIn Home Supportive Care
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility