1HOUSE OF MICAH
NPI 1104219096
Custodial Care Facility - Adult Care Home in Wylie, TX

Active since March 17, 2015
600 WOODBRIDGE PKWY, UNIT 2133, WYLIE, TX 75098(469) 478-7106 Get Directions Write a Review

NPPES record last updated: March 17, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About 1house Of Micah NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

1HOUSE OF MICAH (NPI 1104219096) is a healthcare organization registered as an adult care home in Wylie, Texas and active in the NPI registry since March 2015. The organization lists Jamila Gilliam, Owner, as its authorized official.

NPPES Registry Identity

NPI1104219096
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business Name1HOUSE OF MICAH
Location Address600 WOODBRIDGE PKWY, UNIT 2133Wylie, TX 75098-7047
Mailing Address600 Woodbridge Pkwy, Unit 2133Wylie, TX 75098-7047 · (469) 478-7106
Organization SubpartNo
Authorized OfficialJamila GilliamOwner · (469) 478-7106
Enumeration DateMarch 17, 2015
NPI 1104219096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Also ListedSocial WorkerTaxonomy 104100000X · License 56214 (TX)
Also ListedCustodial Care FacilityTaxonomy 311Z00000X
600 WOODBRIDGE PKWY, Wylie, TX 75098

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 1house Of Micah's NPI number?

The NPI number for 1house Of Micah is 1104219096. It was assigned to this organization in the NPPES registry on March 17, 2015.

Where is 1house Of Micah located?

1house Of Micah is located at 600 Woodbridge Pkwy Unit 2133, Wylie, TX 75098. The listed phone number is (469) 478-7106.

What is 1house Of Micah's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for 1house Of Micah was last updated on March 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.