Provider Demographics
NPI:1891073227
Name:NORTHSTAR DEVELOPMENT COMPANY
Entity Type:Organization
Organization Name:NORTHSTAR DEVELOPMENT COMPANY
Other - Org Name:HORIZON ADULT DAY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CASANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:NORTH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-831-2659
Mailing Address - Street 1:7553 SOUTH FWY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77021-5928
Mailing Address - Country:US
Mailing Address - Phone:713-741-4648
Mailing Address - Fax:
Practice Address - Street 1:7553 SOUTH FWY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77021-5928
Practice Address - Country:US
Practice Address - Phone:713-741-4648
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-02
Last Update Date:2011-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX104110310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility