Provider Demographics
NPI:1821677915
Name:AMANI LIVING LLC
Entity Type:Organization
Organization Name:AMANI LIVING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O/PROGRAM MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:MARIO
Authorized Official - Last Name:TOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-606-9551
Mailing Address - Street 1:8102 BARNES RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77072-0104
Mailing Address - Country:US
Mailing Address - Phone:832-606-9551
Mailing Address - Fax:
Practice Address - Street 1:8102 BARNES RIDGE LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072-0104
Practice Address - Country:US
Practice Address - Phone:832-606-9551
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-06
Last Update Date:2021-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities