MEDICARE: ROOM2REACH 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	:	1417794512
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROOM2REACH LLC

Provider Business Mailing Address
First Line	:	4326 FAIRGREEN LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77047-2928
Country	:	US
Telephone Number	:	713-447-8740
Fax Number	:

Provider Business Practice Location Address
First Line	:	4326 FAIRGREEN LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77047-2928
Country	:	US
Telephone Number	:	713-447-8740
Fax Number	:

Authorized Official
Title or Position	:	OWNER/EXECUTIVE DIRECTOR
Name	:	EDYTHE HOUSTON
Credential	:
Telephone Number	:	713-447-8740

Provider Enumeration Date	:	07/15/2024
Last Update Date	:	03/11/2026

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Directions to “ROOM2REACH LLC ” Practice Location

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