Organization · Type 2 NPI

SR Sam

Custodial Care Facility · La Porte, TX

NPI number 1457787079 Active

Practice location

502 N 5th St
La Porte, TX 77571-3310

Fax (281) 471-1263

Specialties and licenses

TaxonomyCodeLicense
Custodial Care Facility Primary 311Z00000XNone listed
Adult Care Home Facility 311ZA0620XNone listed

Custodial Care Facility: A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or pa…

About NPI 1457787079

SR Sam's National Provider Identifier is 1457787079, issued on Sep 16, 2013. The primary taxonomy on file is Custodial Care Facility (311Z00000X), and the practice location is in La Porte, TX. The record was last updated on Sep 16, 2013.