Healthcare Provider Details

I. General information

NPI: 1336286061
Provider Name (Legal Business Name): AMERICAN HABILITATION SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2007
Last Update Date: 12/07/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1125 JUDSON RD SUITE 100
LONGVIEW TX
75601-5192
US

IV. Provider business mailing address

9050 N CAPITAL OF TEXAS HWY BUILDING 3-SUITE 130
AUSTIN TX
78759-7268
US

V. Phone/Fax

Practice location:
  • Phone: 903-247-4876
  • Fax: 903-753-3484
Mailing address:
  • Phone: 512-236-1312
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. DENNIS R CLAPP
Title or Position: SR. VICE PRESIDENT/CFO
Credential:
Phone: 512-236-1312