OrganizationActive
2nd Home Residential and Support LLC
NPI 1740131457 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Katy, TX
Provider details
- NPI number
- 1740131457
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Deandra Johnson-Egesi, Program Manager
Practice location
19126 Mossy Hedge Ln
Katy, TX 77449-4133
Phone: (832) 408-0556
Fax: (281) 713-5445
Mailing address
19126 Mossy Hedge Ln
Katy, TX 77449-4133
Registry dates
- Enumerated
- 2026-02-07
- Last updated
- 2026-02-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.