PREDESTINE LIFE MINISTRIES NPI 1902961915

NPI Information

NPI: 1902961915
Provider Name: PREDESTINE LIFE MINISTRIES

Doing Business As: 'THE HOUSE OF VALOR'

Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
2725 SAINT PAUL RD
VENUS, TX
ZIP 76084
Phone: (817) 477-0601
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PREDESTINE LIFE MINISTRIES is a community based residential treatment facility, intellectual and/or developmental disabilities in Venus, TX. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. PREDESTINE LIFE MINISTRIES NPI is 1902961915. The provider is registered as an organization entity type.
The provider Is Doing Business As 'the House Of Valor'.

The provider's business location address is:

2725 SAINT PAUL RD
VENUS, TX
ZIP 76084-516
Phone: (817) 477-0601

The provider's authorized official is Rochelle Moore-welton .
The authorized official title is Director-administrator and has the following contact phone number (817) 723-9101.

The enumeration date for this NPI number is 12/27/2006 and was last updated on 8/22/2020.

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 State	Primary
1	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		TEXAS	Yes
2	324500000X	Substance Abuse Rehabilitation Facility			X
3	311ZA0620X	Custodial Care Facility	Adult Care Home		X
4	310400000X	Assisted Living Facility			X

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

NPI Synchronization or Removal

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