Provider Demographics
NPI:1649675927
Name:AFFECTION GROUP RESOURCES LLC
Entity type:Organization
Organization Name:AFFECTION GROUP RESOURCES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:
Authorized Official - Last Name:MATHENGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-754-4668
Mailing Address - Street 1:23603 RIVOLI DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-1420
Mailing Address - Country:US
Mailing Address - Phone:832-754-4668
Mailing Address - Fax:866-802-2871
Practice Address - Street 1:23603 RIVOLI DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77406-1420
Practice Address - Country:US
Practice Address - Phone:832-754-4668
Practice Address - Fax:866-802-2871
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-28
Last Update Date:2014-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child