Provider Demographics
NPI:1487864534
Name:HABILITATIVE HOMES INC
Entity Type:Organization
Organization Name:HABILITATIVE HOMES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:EATON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:210-623-5419
Mailing Address - Street 1:9019 OLD SKY HBR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78242-3225
Mailing Address - Country:US
Mailing Address - Phone:210-623-5419
Mailing Address - Fax:210-623-1150
Practice Address - Street 1:9019 OLD SKY HBR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78242-3225
Practice Address - Country:US
Practice Address - Phone:210-623-5419
Practice Address - Fax:210-623-1150
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities