Provider Demographics
NPI:1487944765
Name:A CARING HEART RESIDENTIAL SERVICES
Entity type:Organization
Organization Name:A CARING HEART RESIDENTIAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NUSHANTA
Authorized Official - Middle Name:L
Authorized Official - Last Name:STUBBS
Authorized Official - Suffix:
Authorized Official - Credentials:BACHELOR
Authorized Official - Phone:713-927-5831
Mailing Address - Street 1:13189 VETERANS MEMORIAL DR. STE#7
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77014
Mailing Address - Country:US
Mailing Address - Phone:713-927-5831
Mailing Address - Fax:
Practice Address - Street 1:13189 VETERANS MEMORIAL DR STE 7
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77014-1900
Practice Address - Country:US
Practice Address - Phone:713-927-5831
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-08
Last Update Date:2012-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities
No3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness