Roosevelt Group Home
LBN: East Texas Community Services For The Developmentally Disabled, Inc.
Roosevelt Group Home is an health care organization with primary practice located at 1020 Roosevelt Dr , Silsbee TX 77656-3408. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty.
East Texas Community Services For The Developmentally Disabled, Inc. can be contacted via phone (409) 385-3723, or through Johnson, D. Michael via phone (409) 385-2626.
Contact Information
Primary practice address
1020 Roosevelt Dr
Silsbee TX 77656-3408
Phone: (409) 385-3723
Fax: (409) 385-9304
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded | 315P00000X | 7554 | Texas |
Profile Details
| NPI number | 1922143700 |
|---|---|
| LBN Legal business name | East Texas Community Services For The Developmentally Disabled, Inc. |
| DBA Doing business as | Roosevelt Group Home |
| Authorized official | Johnson, D. Michael |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 20th, 2007 |
| Last updated | Aug 22nd, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922143700 | NPPES |
| Texas | Other | 7554 | VENDOR |
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