DUNCAN L. FOREST DBA SUMMER HOUSE NPI 1972676385

NPI Information

NPI: 1972676385
Provider Name: DUNCAN L. FOREST DBA SUMMER HOUSE

Other Name: DUNCAN L. FOREST DBA SUMMER HOUSE II

Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
208 MESA DR
GEORGETOWN, TX
ZIP 78628
Phone: (512) 869-0212
Get Directions

DUNCAN L. FOREST DBA SUMMER HOUSE is a residential treatment facility, intellectual and/or developmental disabilities in Georgetown, TX. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. DUNCAN L. FOREST DBA SUMMER HOUSE NPI is 1972676385. The provider is registered as an organization entity type.
The provider Other Name Is Duncan L. Forest Dba Summer House Ii.

The provider's business location address is:

208 MESA DR
GEORGETOWN, TX
ZIP 78628-507
Phone: (512) 869-0212
Fax: (512) 869-0212

The provider's authorized official is Duncan Lee Forest .
The authorized official title is Owner and has the following contact phone number (512) 869-0212.

The enumeration date for this NPI number is 11/15/2006 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	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities		118544	TEXAS	No
2	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities		118178	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	118544	MEDICAID	TEXAS
2	118178	MEDICAID	TEXAS

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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