Healthcare Provider Details

I. General information

NPI: 1467460485
Provider Name (Legal Business Name): SPECIAL TEXAS HOMES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5126 BOSWORTH ST
HOUSTON TX
77017-4002
US

IV. Provider business mailing address

4115 GALVESTON RD
HOUSTON TX
77017-2518
US

V. Phone/Fax

Practice location:
  • Phone: 713-649-4340
  • Fax: 713-475-2332
Mailing address:
  • Phone: 713-475-2228
  • Fax: 713-475-2332

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code315P00000X
TaxonomyIntellectual Disabilities Intermediate Care Facility
License Number116305
License Number StateTX

VIII. Authorized Official

Name: MRS. JERRINE B HARRELL
Title or Position: PRESIDENT
Credential:
Phone: 318-445-6470