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2nd Home Residential And Support LLC

Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Katy, TX. Organization (NPI-2).

NPI number1740131457
StatusActive
Last updated in NPPESFeb 12, 2026

Details

NPI
1740131457
Entity type
Organization (NPI-2)
Legal business name
2nd Home Residential And Support LLC
Organization subpart
No
Enumeration date
Feb 7, 2026
Certification date
Feb 12, 2026
Last updated
Feb 12, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities––Yes

Practice location

19126 Mossy Hedge Ln
Katy, TX 77449-4133

Phone 832-408-0556 · Fax 281-713-5445

Mailing address

19126 Mossy Hedge Ln
Katy, TX 77449-4133

Phone 832-408-0556 · Fax 281-713-5445

Authorized official

Deandra Johnson-Egesi
Program Manager
8327854089

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