MEDICARE: A HUG AWAY, INC

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	251C00000X	Developmentally Disabled Services Day Training Agency
2	251E00000X	Home Health Agency	012471	TX
3	251J00000X	Nursing Care Agency
4	251S00000X	Community/Behavioral Health Agency
5	253Z00000X	In Home Supportive Care Agency	012471	TX
6	261QD1600X	Developmental Disabilities Clinic/Center
7	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
8	261QM0850X	Adult Mental Health Clinic/Center
9	261QM0855X	Adolescent and Children Mental Health Clinic/Center
10	2086S0127X	Trauma Surgery Physician
11	208D00000X	General Practice Physician
12	251G00000X	Community Based Hospice Care Agency	012471	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356586390
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A HUG AWAY, INC

Provider Business Mailing Address
First Line	:	1203 AVENUE D
Second Line	:	SUITE A
City	:	KATY
State	:	TX
Zip	:	77493-1952
Country	:	US
Telephone Number	:	832-437-1983
Fax Number	:	281-605-1307

Provider Business Practice Location Address
First Line	:	1203 AVENUE D
Second Line	:	SUITE A
City	:	KATY
State	:	TX
Zip	:	77493-1952
Country	:	US
Telephone Number	:	832-437-1983
Fax Number	:	281-605-1307

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MARISA WILLIAMS
Credential	:
Telephone Number	:	832-437-1983

Provider Enumeration Date	:	12/04/2008
Last Update Date	:	02/08/2025

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Directions to “A HUG AWAY, INC ” Practice Location

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