Provider Demographics
NPI:1376070888
Name:B B THOMPSON ROYALE CARE
Entity Type:Organization
Organization Name:B B THOMPSON ROYALE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:EBENEZER
Authorized Official - Middle Name:OLUSOLA
Authorized Official - Last Name:AKANGBE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-853-3847
Mailing Address - Street 1:11214 DUNSTAN HILL DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-1845
Mailing Address - Country:US
Mailing Address - Phone:832-853-3847
Mailing Address - Fax:
Practice Address - Street 1:11214 DUNSTAN HILL DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407
Practice Address - Country:US
Practice Address - Phone:832-853-3847
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No253J00000XAgenciesFoster Care Agency
No320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX802716566OtherOFFICE OF SECRETARY OF STATE
1376070888OtherNPI