Organization
AA1 HOME & COMMUNITY BASE SERVICES
Active
Other names
AA1- HOME & COMMUNITY BASE SERVICES LLC, AA1-Home & Community Base Services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
NELSON LASANA FREEMAN (CEO)
(832) 659-6895
Entity
Organization
Contact information
Practice address
16526 PARK ROW STE 122, HOUSTON, TX 77084-5017
(713) 399-5662
Mailing address
16526 PARK ROW STE 122, HOUSTON, TX 77084-5017
(713) 399-5662
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
Other
Enumeration date
06/27/2020
Last updated
07/24/2026
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