OrganizationActive
Living Assurance LLC
NPI 1225830169 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Beasley, TX
Provider details
- NPI number
- 1225830169
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Bolanle Shalujo, Cheif Executive Officer(401) 585-2189
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Residential Treatment Facilities
Practice location
10947 Silver Canoe Dr
Beasley, TX 77417-0294
Phone: (346) 758-0232
Approximate (ZIP-level) locationGet directions
Mailing address
17350 State Highway 249 Ste 220
Houston, TX 77064-1132
Other names (DBA / former)
- Doing business as
- Living Assurance
Registry dates
- Enumerated
- 2025-03-24
- Last updated
- 2025-03-24
- Certified
- 2025-03-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.