Organization · Type 2 NPI
1house of Micah
Adult Care Home Facility · Wylie, TX
NPI number
1104219096
Active
Practice location
600 Woodbridge Pkwy, Unit 2133
Wylie, TX 75098-7047
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | 56214 (TX) |
| Developmentally Disabled Services Day Training Agency | 251C00000X | None listed |
| Custodial Care Facility | 311Z00000X | None listed |
| Adult Care Home Facility Primary | 311ZA0620X | None listed |
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | None listed |
| Physical Disabilities Residential Treatment Facility | 320700000X | None listed |
| Mental Illness Community Based Residential Treatment Facility | 320800000X | None listed |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | None listed |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Other adult care home facility providers in Wylie
About NPI 1104219096
1house of Micah's National Provider Identifier is 1104219096, issued on Mar 17, 2015. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Wylie, TX. The record was last updated on Mar 17, 2015.