Organization · NPI-2

Breaking Barriers Residential Care Homes LLC

Intermediate Care Facility, Intellectual Disabilities · Houston, TX

NPI number1568042422
StatusActive
Last updated in NPPESApr 13, 2021

Details

NPI
1568042422
Entity type
Organization (NPI-2)
Legal business name
Breaking Barriers Residential Care Homes LLC
Organization subpart
No
Enumeration date
Apr 13, 2021
Certification date
Apr 13, 2021
Last updated
Apr 13, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
315P00000X Intermediate Care Facility, Intellectual Disabilities––Yes
311ZA0620X Custodial Care Facility, Adult Care Home––

Practice location

8743 Ashlawn Dr
Houston, TX 77083-5397

Phone 832-865-9329

Mailing address

8743 Ashlawn Dr
Houston, TX 77083-5397

Phone 832-865-9329

Authorized official

Tameka E Kegler
Part Owner
7138572965

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