Organization
EDDIE LIVING INC
Active
Organization
EDDIE LIVING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHERRIE LA'NIECE THOMPSON-JACKSON DIRECTOR OF OPERATIO (EXECUTIVE DIRECTOR)
(281) 541-5318
Entity
Organization
Contact information
Practice address
5509 WIPPRECHT ST, HOUSTON, TX 77026-1741
(713) 633-0042
(281) 749-8228
Mailing address
PO BOX 671646, HOUSTON, TX 77267-1646
(713) 633-0042
(281) 749-8228
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
1238428
TX
320800000X
Mental Illness Community Based Residential Treatment Facility
1238428
TX
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
1238428
TX
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
1238428
TX
Other
Enumeration date
08/26/2011
Last updated
02/08/2013
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