IndividualActive
India James-Miller
NPI 1013868876 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Channelview, TX
Provider details
- NPI number
- 1013868876
- Entity type
- Individual
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Female
- Sole proprietor
- Yes
- License
- 28005774 (TX)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense 28005774 (TX)
Residential Treatment Facilities
Practice location
15019 Easingwold Dr
Channelview, TX 77530-2063
Phone: (409) 239-3836
Approximate (ZIP-level) locationGet directions
Mailing address
15019 Easingwold Dr
Channelview, TX 77530-2063
Registry dates
- Enumerated
- 2026-02-06
- Last updated
- 2026-03-27
- Certified
- 2026-03-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.