Provider Demographics
NPI: | 1972935666 |
---|---|
Name: | CAREGIVER HOMES OF TEXAS INC. |
Entity type: | Organization |
Organization Name: | CAREGIVER HOMES OF TEXAS INC. |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | CEO AND PRESIDENT |
Authorized Official - Prefix: | MR |
Authorized Official - First Name: | THOMAS |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | RILEY |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 617-456-3787 |
Mailing Address - Street 1: | 500 BOYLSTON ST |
Mailing Address - Street 2: | SUITE 640 |
Mailing Address - City: | BOSTON |
Mailing Address - State: | MA |
Mailing Address - Zip Code: | 02116-3740 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 617-456-3700 |
Mailing Address - Fax: | 617-236-7777 |
Practice Address - Street 1: | 500 BOYLSTON ST |
Practice Address - Street 2: | SUITE 640 |
Practice Address - City: | BOSTON |
Practice Address - State: | MA |
Practice Address - Zip Code: | 02116-3740 |
Practice Address - Country: | US |
Practice Address - Phone: | 617-456-3700 |
Practice Address - Fax: | 617-236-7777 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | Yes |
Parent Organization LBN: | CAREGIVER HOMES NETWORK INC. |
Parent Organization TIN: | <UNAVAIL> |
Enumeration Date: | 2013-08-05 |
Last Update Date: | 2013-08-05 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 311ZA0620X | Nursing & Custodial Care Facilities | Custodial Care Facility | Adult Care Home |