Mimshack Care Homes LLC
Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities

Address: 12330 Springcrest Dr, Houston, TX 77072-3219
Phone: 8322772618

Mimshack Care Homes LLC (NPI# 1750980686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1750980686
Entity Type Organization
Organization Name MIMSHACK CARE HOMES LLC
Practice Address 12330 Springcrest Dr
Houston
TX 77072-3219
Practice Telephone 8322772618
Mailing Address 12330 Springcrest Dr
Houston
TX 77072-3219
Mailing Telephone 8322772618
Authorized Official Name Chinyere Agbafor (C.E.O/PROGRAM MANAGER)
Authorized Official Telephone 8322772618
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2020-10-21
Last Update Date 2020-10-21

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities

Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Notes: [7/1/2003: new]

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1881237550 Ark Infinitude Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 2150 Bentworth Dr Apt 461, Houston, TX 77077-6223 2019-10-24
1821645532 New Hope Hcs and Txhml Services Inc Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 6260 Westpark Dr Ste 230, Houston, TX 77057-7411 2019-08-19
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Office Location

Street Address 12330 SPRINGCREST DR
City HOUSTON
State TX
Zip Code 77072-3219

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972121416 Community Medical Clinic LLC Family Medicine 10008 Bellaire Blvd, Suite 108, Houston, TX 77072 2020-07-10
1073155271 Daysi D Landaverde Technician 13078 Clarewood Dr, Houston, TX 77072 2019-10-09
1043727852 Adrienne N Brown Counselor 7419 S Kirkwood Rd Ste A, Houston, TX 77072 2018-01-02
1235645441 Timothy Viet Do Pharmacist 12454 Beecnut Street Suite 8, Houston, TX 77072 2017-12-26
1255857165 Danielle Mondesir Nurse Practitioner 13131 Wilde Glen Lane, Houston, TX 77072 2017-08-22
1376063024 Florence Bennett Day Training, Developmentally Disabled Services 6111 Wilcrest Dr, Houston, TX 77072 2017-06-23
1437684297 Alief Chiro & Rehab, Inc. Chiropractor 10600 Bellaire Blvd Ste. 139, Houston, TX 77072 2017-04-28
1952858672 Thanhtam Thi Tran Dentist 820 W. Sam Houston Pkwy, Houston, TX 77072 2016-09-11
1174972996 Fresh Ortho Care, Pllc Dentist 12168 Bellaire Blvd- Ste. 100, Houston, TX 77072 2016-06-13
1437504255 Shilo Home Health Assisted Living Facility 7000 Cook Rd Apt 901, Houston, TX 77072 2016-04-29
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Competitor

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City HOUSTON
Zip Code 77072

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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.