Provider Demographics
NPI:1285187914
Name:BELINDA KAY JAMES
Entity Type:Organization
Organization Name:BELINDA KAY JAMES
Other - Org Name:ACTIVE ONE SERVICES & SUPPORT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROGRAM OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BELINDA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:M ED
Authorized Official - Phone:713-205-6640
Mailing Address - Street 1:3007 FOUR WINDS DR
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-4283
Mailing Address - Country:US
Mailing Address - Phone:713-205-6640
Mailing Address - Fax:713-728-2526
Practice Address - Street 1:3007 FOUR WINDS DR
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-4283
Practice Address - Country:US
Practice Address - Phone:713-205-6640
Practice Address - Fax:713-728-2526
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-29
Last Update Date:2020-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251B00000X, 251C00000X, 251G00000X, 251S00000X, 253J00000X, 253Z00000X, 305S00000X, 385H00000X
251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service
No251B00000XAgenciesCase Management
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
No251S00000XAgenciesCommunity/Behavioral Health
No253J00000XAgenciesFoster Care Agency
No253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care