Organization
GOOD HOME COMMUNITY LIVING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAIL L. CUNNINGHAM (CEO)
(281) 905-0420
Entity
Organization
Contact information
Practice address
2254 COUNTY ROAD 179, ALVIN, TX 77511-7082
(281) 905-0420
(713) 734-6926
Mailing address
2254 COUNTY ROAD 179, ALVIN, TX 77511-7082
(281) 905-0420
(713) 734-6926
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251J00000X
Nursing Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
TX
261QP2000X
Physical Therapy Clinic/Center
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659558856
—
TX
Enumeration date
01/30/2008
Last updated
02/24/2022
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