INNOVATIVE HOMES OF DEEP EAST TEXAS INC. NPI 1932138773

NPI Information

NPI: 1932138773
Provider Name: INNOVATIVE HOMES OF DEEP EAST TEXAS, INC.
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
513 S 1ST ST
LUFKIN, TX
ZIP 75901
Phone: (936) 639-5273
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INNOVATIVE HOMES OF DEEP EAST TEXAS, INC. is a community based residential treatment facility, intellectual and/or developmental disabilities in Lufkin, 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. INNOVATIVE HOMES OF DEEP EAST TEXAS, INC. NPI is 1932138773. The provider is registered as an organization entity type.

The provider's business location address is:

513 S 1ST ST
LUFKIN, TX
ZIP 75901-867
Phone: (936) 639-5273
Fax: (936) 639-5286

The provider's authorized official is Andro Gene Branch .
The authorized official title is Program Director and has the following contact phone number (936) 639-5273.

The enumeration date for this NPI number is 7/2/2006 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 Number	License State	Primary
1	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities				Yes

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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