Provider Demographics
NPI:1689353021
Name:AKA HOME, LLC
Entity Type:Organization
Organization Name:AKA HOME, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BETH
Authorized Official - Middle Name:ALYSE
Authorized Official - Last Name:FERGUSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-281-2275
Mailing Address - Street 1:PO BOX 233
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-0006
Mailing Address - Country:US
Mailing Address - Phone:281-262-2054
Mailing Address - Fax:
Practice Address - Street 1:210 GULF FWY
Practice Address - Street 2:
Practice Address - City:TEXAS CITY
Practice Address - State:TX
Practice Address - Zip Code:77591-2819
Practice Address - Country:US
Practice Address - Phone:409-935-0300
Practice Address - Fax:409-908-0409
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BRALLE HOME LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-07-13
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
No251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health
No3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness