Organization
SPECIAL TEXAS HOMES INC
Active
Other names
Ponca Living Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JERRINE B HARRELL (PRESIDENT)
(318) 445-6470
Entity
Organization
Contact information
Practice address
4314 PONCA ST, PASADENA, TX 77504-3553
(281) 487-1292
(713) 475-2332
Mailing address
4115 GALVESTON RD, HOUSTON, TX 77017-2518
(713) 475-2228
(713) 475-2332
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
117250
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
45G849
—
TX
Enumeration date
08/18/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us