ANDRE HANCOCK SR. FAMILY GROUP HOME – NPI #1396061685
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

ANDRE HANCOCK SR. FAMILY GROUP HOME is a residential treatment facility located in RED OAK, TX. NPPES has assigned the NPI number 1396061685 to ANDRE HANCOCK SR. FAMILY GROUP HOME on April 13, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320600000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

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 ANDRE HANCOCK SR. FAMILY GROUP HOME below.

NPI Profile for
ANDRE HANCOCK SR. FAMILY GROUP HOME

NPI Number
1396061685
Enumeration Date

(more than 16 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
ANDRE HANCOCK SR. FAMILY GROUP HOME
Primary location
1012 FARM MARKET ROAD 2377
RED OAK, TX 75154
Phone: (214) 460-6930 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
IRMA CROSBY
PRESIDENT
Phone: (214) 460-6930
Updated
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
320600000X
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)

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.