Provider Demographics
NPI:1821292269
Name:EXCEPTIONAL CARE INC.
Entity Type:Organization
Organization Name:EXCEPTIONAL CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:LONNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:713-644-8280
Mailing Address - Street 1:8414 GLENCROSS ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77061-2314
Mailing Address - Country:US
Mailing Address - Phone:713-644-8280
Mailing Address - Fax:713-644-2991
Practice Address - Street 1:8414 GLENCROSS ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77061-2314
Practice Address - Country:US
Practice Address - Phone:713-644-8280
Practice Address - Fax:713-644-2991
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities