Organization
OUTREACH ASSISTED LIVING FACILITY 2
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAIR VIVARD CLARKE LBSW (OWNER)
(713) 459-1753
Entity
Organization
Contact information
Practice address
5010 RIDGEWAY DR, HOUSTON, TX 77033-3541
(713) 459-1753
(713) 988-5323
Mailing address
5010 RIDGEWAY DR, HOUSTON, TX 77033-3541
(713) 731-0645
(713) 998-5323
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
117656 VENDOR 100958
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10026531
LTC PROVIDER
TX
Enumeration date
05/03/2007
Last updated
08/22/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up