OrganizationActive
Coastal Community Care Services, Inc
NPI 1811325392 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Houston, TX
Provider details
- NPI number
- 1811325392
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Hyacinth Chiedu, Director(713) 694-0051
- License
- 001008928 (TX)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense 001008928 (TX)
Residential Treatment Facilities
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4615 North Fwy Ste 204
Houston, TX 77022-2920
Phone: (713) 694-0051
Fax: (713) 694-4711
Approximate (ZIP-level) locationGet directions
Mailing address
4615 North Fwy Ste 204
Houston, TX 77022-2920
Registry dates
- Enumerated
- 2013-10-21
- Last updated
- 2013-10-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.