THAT 1 HOME – NPI #1114769130
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.

THAT 1 HOME is a community based residential treatment facility located in KATY, TX. NPPES has assigned the NPI number 1114769130 to THAT 1 HOME on June 10, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, 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. Keep in mind, having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was last updated on Jun 19, 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 THAT 1 HOME below.

NPI Profile for
THAT 1 HOME

NPI Number
1114769130
Enumeration Date

(about 2 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
THAT 1 HOME
Primary location
19126 MOSSY HEDGE LN
KATY, TX 77449-4133
Phone: (832) 785-4089 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DEANDRA JOHNSON-EGESI
PROGRAM MANAGER
Phone: (832) 785-4089
Updated
Certification Date
Jun 19, 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.

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.