MEDICARE: PLEASANT HANDS, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

General Provider Information

NPI Number	:	1245841758
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PLEASANT HANDS, LLC

Provider Business Mailing Address
First Line	:	1635 THORNHOLLOW DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77014-1892
Country	:	US
Telephone Number	:	832-216-2893
Fax Number	:

Provider Business Practice Location Address
First Line	:	1635 THORNHOLLOW DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77014-1892
Country	:	US
Telephone Number	:	832-216-2893
Fax Number	:

Authorized Official
Title or Position	:	PROGRAM MANAGER
Name	:	SHAWNTAY M MCCLURE
Credential	:
Telephone Number	:	832-216-2893

Provider Enumeration Date	:	08/10/2020
Last Update Date	:	08/10/2020

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Directions to “PLEASANT HANDS, LLC ” Practice Location

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