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STADIUM EMERGENCY SHELTER NPI 1427390624


NPI Information

NPI: 1427390624
Provider Name: STADIUM EMERGENCY SHELTER
Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
21882 E WALLIS DR
PORTER, TX
ZIP 77365
Phone: (281) 354-5930
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STADIUM EMERGENCY SHELTER is a residential treatment facility emotionally disturbed children in Porter, TX. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. STADIUM EMERGENCY SHELTER NPI is 1427390624. The provider is registered as an organization entity type.

The provider's business location address is:

21882 E WALLIS DR
PORTER, TX
ZIP 77365-366
Phone: (281) 354-5930
Fax: (281) 354-5935

The provider's authorized official is Lee Preston .
The authorized official title is Founder and has the following contact phone number (281) 354-5930.

The enumeration date for this NPI number is 3/26/2013 and was last updated on 3/26/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1322D00000XResidential Treatment Facility, Emotionally Disturbed Children1442966TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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