MEDICARE: ANCHOR POINT RESIDENTIAL 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	:	1437090081
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANCHOR POINT RESIDENTIAL LLC

Provider Business Mailing Address
First Line	:	5900 BALCONES DR STE 100
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78731-4298
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1589 SUNRISE GABLES DR
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77493-5332
Country	:	US
Telephone Number	:	281-953-5443
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	YOLLESSE JACKSON
Credential	:	RN
Telephone Number	:	281-953-5443

Provider Enumeration Date	:	04/06/2026
Last Update Date	:	04/06/2026

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Directions to “ANCHOR POINT RESIDENTIAL LLC ” Practice Location

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