Provider Demographics
NPI:1669259560
Name:ALEXIS'S CARE FACILITY
Entity type:Organization
Organization Name:ALEXIS'S CARE FACILITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CAROLINE
Authorized Official - Middle Name:M
Authorized Official - Last Name:BOOKMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-744-2029
Mailing Address - Street 1:1411 TARBERRY RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77088-5037
Mailing Address - Country:US
Mailing Address - Phone:281-744-2029
Mailing Address - Fax:832-664-9295
Practice Address - Street 1:1411 TARBERRY RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77088-5037
Practice Address - Country:US
Practice Address - Phone:281-744-2029
Practice Address - Fax:832-664-9295
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-13
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities