MEDICARE: LANDON PLACE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251S00000X	Community/Behavioral Health Agency
2	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
3	385H00000X	Respite Care
4	343900000X	Non-emergency Medical Transport (VAN)
5	261QM0850X	Adult Mental Health Clinic/Center

General Provider Information

NPI Number	:	1043170517
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LANDON PLACE, LLC

Provider Business Mailing Address
First Line	:	510 GAY DR
Second Line	:
City	:	CONROE
State	:	TX
Zip	:	77301-1362
Country	:	US
Telephone Number	:	281-677-1585
Fax Number	:

Provider Business Practice Location Address
First Line	:	510 GAY DR
Second Line	:
City	:	CONROE
State	:	TX
Zip	:	77301-1362
Country	:	US
Telephone Number	:	281-677-1585
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	GRETCHEN LANDON
Credential	:	B.A. BEHAVIORAL SCIE
Telephone Number	:	281-677-1585

Provider Enumeration Date	:	11/17/2025
Last Update Date	:	05/15/2026

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