GREGORY D SHEAD
Custodial Care Facility (Adult Care Home)

Address: 14511 Jessica Falls Cir, Houston, TX 77044-4969

GREGORY D SHEAD (NPI# 1740879782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740879782
Entity Type Individual
Full Name GREGORY D SHEAD
Gender Male
Practice Address 14511 Jessica Falls Cir
Houston
TX 77044-4969
Practice Telephone 2819004147
Mailing Address 14511 Jessica Falls Cir
Houston
TX 77044-4969
Mailing Telephone 2819004147
Certification Date 2021-01-14
Enumeration Date 2021-01-14
Last Update Date 2021-01-14
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Taxonomy Group
N 311ZA0620X Custodial Care Facility
Specialization: Adult Care Home
Nursing & Custodial Care Facilities
Y 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities
N 373H00000X Day Training/Habilitation Specialist Nursing Service Related Providers
N 385HR2060X Respite Care
Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities
Respite Care Facility

Associated Endpoints

Endpoint Type Endpoint Affiliation Affiliation Address Use Content
CONNECT URL gregoryshd5@gmail.com (Owner/ Provider email address) 14511 Jessica Falls Cir, Houston, TX 770444969 Health Information Exchange (HIE) CSV

Office Location

Street Address 14511 JESSICA FALLS CIR
City HOUSTON
State TX
Zip Code 77044-4969

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Taxonomy Information

Taxonomy Code 320600000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1376104653 Ladies Haven 2525 Winrock Blvd Apt 122, Houston, TX 77057-4325 2019-06-26
1366005712 Cogic 7809 Winship St, Houston, TX 77028-2441 2019-04-20
1891257382 Amazing Grace Greater Homes LLC 9231 Floral Crest Dr, Houston, TX 77083-6226 2019-04-03
1083172092 Silver Lining Residential,Llc 8014 Montague Manor Ln, Houston, TX 77072-0124 2019-03-08
1922570712 Katrina Williams · Katrina Stover 12214 Plumpoint Dr, Houston, TX 77099-3138 2018-12-18
1902376635 Friendly Angels LLC 15403 Town Green Dr, Houston, TX 77083-5539 2018-11-26
1851869358 Wavuli Foundation 8542 Village Rose Ln, Houston, TX 77072-5649 2018-11-02
1083197966 C&d Amazing Care Inc 15226 Mission Forest Dr, Houston, TX 77083-7359 2018-09-07
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Competitor

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City HOUSTON
Zip Code 77044

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.