MAINSTREAM LIVING CENTER LLC – NPI #1386855625
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.

MAINSTREAM LIVING CENTER LLC is a community based residential treatment facility located in HOUSTON, TX. NPPES has assigned the NPI number 1386855625 to MAINSTREAM LIVING CENTER LLC on May 25, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 previously updated about 6 years ago on Dec 23, 2019. 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 MAINSTREAM LIVING CENTER LLC below.

NPI Profile for
MAINSTREAM LIVING CENTER LLC

NPI Number
1386855625
Enumeration Date

(more than 19 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
MAINSTREAM LIVING CENTER LLC
Primary location
11811 NORTH FWY STE 615
HOUSTON, TX 77060-3239
Phone: (281) 999-5112 Fax: (281) 999-5113
Mailing address
13940 BAMMEL N. HOUSTON
SUITE 304
HOUSTON, TX 77066
Phone: (281) 440-5103 Fax: (281) 440-5105
Organization Subpart
No
Authorized Official
CARL CUNNINGHAM
CEO
Phone: (281) 865-2003
Updated
Certification Date
Dec 23, 2019

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
320900000X
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)
TX 001008149

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.