AVENUE 360 HEALTH AND WELLNESS – NPI #1285061978
Clinic/Center

AVENUE 360 HEALTH AND WELLNESS is an AHC clinic located in HOUSTON, TX. NPPES has assigned the NPI number 1285061978 to AVENUE 360 HEALTH AND WELLNESS on September 26, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “AVENUE 360 HEALTH AND WELLNESS” is a dba name, the actual legal business name for this organization is HOUSTON AREA COMMUNITY SERVICES INC.. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was last updated on Oct 24, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AVENUE 360 HEALTH AND WELLNESS below.

NPI Profile for
HOUSTON AREA COMMUNITY SERVICES INC.

NPI Number
1285061978
Enumeration Date

(more than 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
HOUSTON AREA COMMUNITY SERVICES INC.
Doing Business As (dba): AVENUE 360 HEALTH AND WELLNESS
Primary location
902 FROSTWOOD DR
SUITE 142
HOUSTON, TX 77024-2420
Phone: (713) 827-8266 Fax:
Mailing address
2150 W 18TH ST
HOUSTON, TX 77008-5200
Phone: (713) 426-0027 Fax:
Organization Subpart
No
Authorized Official
TEQUILA HENDERSON
REVENUE CYCLE DIRECTOR
Phone: (713) 426-0027
Updated
Certification Date
Oct 24, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)		 TX

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.