NPI Code Details Logo

NPI 1891654166

NPI 1891654166 : C.O.R.E. HOUSE : MISSOURI CITY, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1891654166
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    C.O.R.E. HOUSE 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    01/21/2026
-----------------------------------------------------
    Last Update Date     |    01/21/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    17311 ARTWOOD LN 
-----------------------------------------------------
    City                 |    MISSOURI CITY
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    77489-3539
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    832-844-1773
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    17311 ARTWOOD LN 
-----------------------------------------------------
    City                 |    MISSOURI CITY
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    77489-3539
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    832-844-1773
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CEO
-----------------------------------------------------
    Name                 |    MR. RALPHIEL  COLLIER 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    832-844-1773
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    320900000X
-----------------------------------------------------
    Taxonomy Name        |    Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.