Provider Demographics
NPI:1083452726
Name:ACCREDITED HOMEZ LLC
Entity type:Organization
Organization Name:ACCREDITED HOMEZ LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:O
Authorized Official - Last Name:OMIDIWURA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:936-668-8281
Mailing Address - Street 1:10839 SANDY ISLANDS CT
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-0343
Mailing Address - Country:US
Mailing Address - Phone:936-668-8281
Mailing Address - Fax:
Practice Address - Street 1:10839 SANDY ISLANDS CT
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-0343
Practice Address - Country:US
Practice Address - Phone:936-668-8281
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-17
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities