Provider Demographics
NPI:1700101847
Name:ABLING MINDS PERSONAL CARE HOMES, HCS
Entity Type:Organization
Organization Name:ABLING MINDS PERSONAL CARE HOMES, HCS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:KATINA
Authorized Official - Middle Name:
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-865-3995
Mailing Address - Street 1:1919 WILDWOOD RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77489-2914
Mailing Address - Country:US
Mailing Address - Phone:281-865-3995
Mailing Address - Fax:
Practice Address - Street 1:1919 WILDWOOD RIDGE DR
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77489-2914
Practice Address - Country:US
Practice Address - Phone:281-865-3995
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-31
Last Update Date:2010-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities