Accountable Source

LBN: Accountable Source
Accountable Source is an health care organization with primary practice located at 2855A Mangum Rd. Ste 502, Houston TX 77092-5407. The organization recently has 8 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Day Training, Developmentally Disabled Services, Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Managed Care Organizations / Exclusive Provider Organization, Managed Care Organizations / Point of Service, Residential Treatment Facilities / Psychiatric Residential Treatment Facility, Respite Care Facility / Respite Care, Mental Illness, Child. Agencies / Day Training, Developmentally Disabled Services is the primary health care specialty. Accountable Source can be contacted via phone (832) 212-2131, or through Scott, Gullese D via phone (832) 212-2131.

Contact Information

Primary practice address
2855A Mangum Rd. Ste 502 Houston TX 77092-5407
Phone: (832) 212-2131
Fax: (832) 686-8559
Website:
Map and Directions
Authorized official contact:
Name: Scott, Gullese D
Phone: (832) 212-2131

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X
Managed Care Organizations / Exclusive Provider Organization 302F00000X 0000 Texas
Managed Care Organizations / Point of Service 305S00000X Texas
Residential Treatment Facilities / Psychiatric Residential Treatment Facility 323P00000X
Respite Care Facility / Respite Care, Mental Illness, Child 385HR2055X

Profile Details

NPI number 1134496532
LBN Legal business name Accountable Source
DBA Doing business as
Authorized official Scott, Gullese D
Entity Organization
Organization subpart 1 No
Enumeration date Nov 30th, 2011
Last updated Jul 15th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134496532 NPPES
Texas Other 0000 N/A

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