Provider Demographics
NPI:1851423420
Name:A& S COMMUNITY DEVELOPMENT
Entity Type:Organization
Organization Name:A& S COMMUNITY DEVELOPMENT
Other - Org Name:A&S PERSONAL CARE HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BOBBIE
Authorized Official - Middle Name:JORDAN
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-254-6980
Mailing Address - Street 1:9710 GUEST ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77078
Mailing Address - Country:US
Mailing Address - Phone:713-635-9453
Mailing Address - Fax:713-635-1102
Practice Address - Street 1:9710 GUEST ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77078
Practice Address - Country:US
Practice Address - Phone:713-635-9453
Practice Address - Fax:713-635-1102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-09
Last Update Date:2008-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX030247310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility