Organization · NPI-2

Ameritex Community Services, LLC

Home Health · Houston, TX

NPI number1356895122

StatusActive

Last updated in NPPESMar 13, 2021

Details

NPI: 1356895122
Entity type: Organization (NPI-2)
Legal business name: Ameritex Community Services, LLC
Organization subpart: No
Enumeration date: Aug 10, 2016
Certification date: Mar 13, 2021
Last updated: Mar 13, 2021

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
251E00000X	Home Health	–	–	Yes
251B00000X	Case Management	–	–
251K00000X	Public Health or Welfare	–	–
251S00000X	Community/Behavioral Health	–	–
253Z00000X	In Home Supportive Care	–	–
302R00000X	Health Maintenance Organization	–	–
3104A0625X	Assisted Living Facility, Assisted Living, Mental Illness	–	–
315P00000X	Intermediate Care Facility, Intellectual Disabilities	–	–
320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities	–	–
320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	–	TX
320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	–	–
385H00000X	Respite Care	–	–
385HR2050X	Respite Care, Respite Care Camp	–	–
385HR2060X	Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child	–	–

Practice location

4001 Fannin St Apt 4541
Houston, TX 77004-4085

Phone 713-970-1037 · Fax 713-814-3979

Mailing address

2450 Louisiana St Ste 406
Houston, TX 77006-2318

Phone 713-970-1037 · Fax 713-814-3979

Authorized official

Darryl Wayne Smith
Administrator
7139701037

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