Provider Demographics
NPI:1780140970
Name:ACCESS CARE LIVING CENTER LLC
Entity type:Organization
Organization Name:ACCESS CARE LIVING CENTER LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PROGRAM MANGER
Authorized Official - Prefix:
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:O
Authorized Official - Last Name:ANYAORAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-935-9365
Mailing Address - Street 1:3418 STATE HWY 6 SOUTH,
Mailing Address - Street 2:STE B #349
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-2097
Mailing Address - Country:US
Mailing Address - Phone:281-935-9365
Mailing Address - Fax:
Practice Address - Street 1:12435 GIRASOLE CT
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77406-2097
Practice Address - Country:US
Practice Address - Phone:281-935-9365
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-13
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility