Provider Demographics
NPI:1336286061
Name:AMERICAN HABILITATION SERVICES, INC
Entity Type:Organization
Organization Name:AMERICAN HABILITATION SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR. VICE PRESIDENT/CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:R
Authorized Official - Last Name:CLAPP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-236-1312
Mailing Address - Street 1:9050 N CAPITAL OF TEXAS HWY
Mailing Address - Street 2:BUILDING 3-SUITE 130
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-7268
Mailing Address - Country:US
Mailing Address - Phone:512-236-1312
Mailing Address - Fax:
Practice Address - Street 1:1125 JUDSON RD
Practice Address - Street 2:SUITE 100
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75601-5192
Practice Address - Country:US
Practice Address - Phone:903-247-4876
Practice Address - Fax:903-753-3484
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-31
Last Update Date:2009-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX000613200OtherAB SA CLASS DS
TX001015776OtherBEAUMONT CLASS DS
TX001017085OtherAUSTIN CLASS CM
TX001017094OtherMIDLAND/ODESSA CLASS CM
TX001012152OtherHOUSTON CLAS CM
TX001017087OtherCORPUS CHRISTI CLASS DS
TX001017092OtherLUBBOCK CLASS DS
TX001017090OtherHOUSTON CLASS CM
TX000602200OtherAMARILLO CLASS CM
TX000602300OtherODESSA CLASS CM
TX000613400OtherCORPUS CHRISTI CLASS DS
TX001017083OtherABILENE CLASS DS
TX001017091OtherLONGVIEW CLASS DS
TX001017096OtherSAN ANTONIO CLASS CM
TX000614300OtherLONGVIEW CLASS DS
TX001017089OtherFORT WORTH CLASS CM
TX000602400OtherDALLAS CLASS CM
TX000613500OtherLUBBOCK CLASS DS
TX001017084OtherAMARILLO CLASS CM
TX001017088OtherDALLAS CLASS CM
TX001017093OtherLUFKIN CLASS DS
TX001017095OtherSAN ANGELO CLASS DS