GONZALES COUNTY COMMUNITY RESIDENCE – NPI #1114095957
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
GONZALES COUNTY COMMUNITY RESIDENCE is a community based residential treatment facility located in SMILEY, TX. NPPES has assigned the NPI number 1114095957 to GONZALES COUNTY COMMUNITY RESIDENCE on December 01, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “GONZALES COUNTY COMMUNITY RESIDENCE” is a dba name, the actual legal business name for this organization is JAMES-LEACH,INC.. The primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.
The NPI profile was last updated on Dec 11, 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 GONZALES COUNTY COMMUNITY RESIDENCE below.
NPI Profile for
JAMES-LEACH,INC.
(more than 19 years ago)
SMILEY, TX 78159 Phone: (979) 968-8820 Fax: (979) 968-6598
LA GRANGE, TX 78945-6127 Phone: (979) 968-8820 Fax: (979) 968-6598
PRESIDENT
Phone: (979) 968-8820
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Identifiers for GONZALES COUNTY COMMUNITY RESIDENCE
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| medicaid | TX | 45H251 |
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 |
|---|---|---|
| 320900000X - Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary) |
TX | 114228 |
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.