Provider Demographics
NPI:1972952893
Name:HOUSE OF FAITH HCS CO.
Entity type:Organization
Organization Name:HOUSE OF FAITH HCS CO.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:OSAMUYIMEN
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:AGHIMIEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-296-0190
Mailing Address - Street 1:7319 KYLE TRAIL CT
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-8035
Mailing Address - Country:US
Mailing Address - Phone:713-296-0196
Mailing Address - Fax:832-917-5211
Practice Address - Street 1:7319 KYLE TRAIL CT
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-8035
Practice Address - Country:US
Practice Address - Phone:713-296-0190
Practice Address - Fax:832-917-5211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-10
Last Update Date:2016-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No253J00000XAgenciesFoster Care Agency
No320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child