Provider Demographics
NPI:1679610349
Name:AMERICAN HABILITATION SERVICES, INC.
Entity type:Organization
Organization Name:AMERICAN HABILITATION SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:R
Authorized Official - Last Name:CLAPP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-236-1312
Mailing Address - Street 1:1611 W 6TH ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78703-5073
Mailing Address - Country:US
Mailing Address - Phone:512-236-1312
Mailing Address - Fax:
Practice Address - Street 1:1611 W 6TH ST
Practice Address - Street 2:SUITE A
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78703-5073
Practice Address - Country:US
Practice Address - Phone:512-236-1312
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-31
Last Update Date:2011-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001010508OtherEL PASO TEXAS H L
TX001007030OtherABILENE WICHITA FALLS HCS
TX001007232OtherHOUSTON HCS
TX001010150OtherLONGVIEW TEXAS H L
TX001010443OtherWEST COLUMBIA TEXAS H L
TX001007080OtherDALLAS HCS
TX001007138OtherLONGVIEW HCS
TX001007410OtherWEST COLUMBIA HCS
TX001010033OtherABILENE TEXAS H L
TX001010087OtherDALLAS TEXAS H L
TX001010543OtherCORPUS CHRISTI TEXAS H L
TX001007503OtherCORPUS CHRISTI HCS
TX001007469OtherEL PASO HCS
TX001007002OtherAMARILLO LUBBOCK HCS
TX001010002OtherAMARILLO LUBBOCK TEXAS HL
TX001010251OtherHOUSTON TEXAS H L
TX001007335OtherCORSICANA HCS
TX001010359OtherCORSICANA TEXAS H L