Provider Demographics
NPI:1225757545
Name:ABOUND CARE ABILITIES HCS LLC
Entity Type:Organization
Organization Name:ABOUND CARE ABILITIES HCS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TOJUNA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:ELDRIDGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-420-7458
Mailing Address - Street 1:8403 SEDONA RUN DR
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-6342
Mailing Address - Country:US
Mailing Address - Phone:832-420-7458
Mailing Address - Fax:832-203-1911
Practice Address - Street 1:11500 NORTHWEST FWY STE 465
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77092-6538
Practice Address - Country:US
Practice Address - Phone:832-420-7458
Practice Address - Fax:832-203-1911
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-22
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251S00000XAgenciesCommunity/Behavioral Health
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child