Provider Demographics
NPI:1568042422
Name:BREAKING BARRIERS RESIDENTIAL CARE HOMES LLC
Entity Type:Organization
Organization Name:BREAKING BARRIERS RESIDENTIAL CARE HOMES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PART OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TAMEKA
Authorized Official - Middle Name:E
Authorized Official - Last Name:KEGLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-857-2965
Mailing Address - Street 1:8743 ASHLAWN DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-5397
Mailing Address - Country:US
Mailing Address - Phone:832-865-9329
Mailing Address - Fax:
Practice Address - Street 1:8743 ASHLAWN DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-5397
Practice Address - Country:US
Practice Address - Phone:832-865-9329
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-13
Last Update Date:2021-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities
No311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home