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THAT 1 HOME
NPI 1114769130
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Katy, TX

Active since June 10, 2024
19126 MOSSY HEDGE LN, KATY, TX 77449(832) 785-4089 Get Directions Write a Review

NPPES record last updated: June 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 19, 2024, Jun 11, 2024 (2 updates tracked since 2024).

About That 1 Home NPPES

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

THAT 1 HOME (NPI 1114769130) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Katy, Texas and active in the NPI registry since June 2024. The organization lists Deandra Johnson-egesi, Program Manager, as its authorized official.

NPPES Registry Identity

NPI1114769130
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameTHAT 1 HOME
Location Address19126 MOSSY HEDGE LNKaty, TX 77449-4133
Mailing Address19126 Mossy Hedge LnKaty, TX 77449-4133 · (832) 785-4089
Phone(832) 785-4089
Organization SubpartNo
Authorized OfficialDeandra Johnson-egesiProgram Manager · (832) 785-4089
Enumeration DateJune 10, 2024
Last NPPES UpdateJune 19, 20242 updates tracked since enumeration
NPPES CertifiedJune 19, 2024
✔ NPI 1114769130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Also ListedRegistered NurseTaxonomy 163W00000X
Also ListedRegistered Nurse · AdministratorTaxonomy 163WA2000X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedClinical Nurse Specialist · Long-Term CareTaxonomy 364SL0600X
19126 MOSSY HEDGE LN, Katy, TX 77449
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEANDRA RACHEL JOHNSON-EGESI RN
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
19126 MOSSY HEDGE LN
KATY, TX 77449
Harris County (832) 408-0556
2ND HOME RESIDENTIAL AND SUPPORT LLC
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
19126 MOSSY HEDGE LN
KATY, TX 77449
Harris County (832) 408-0556

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 That 1 Home's NPI number?

The NPI number for That 1 Home is 1114769130. It was assigned to this organization in the NPPES registry on June 10, 2024.

Where is That 1 Home located?

That 1 Home is located at 19126 Mossy Hedge Ln, Katy, TX 77449. The listed phone number is (832) 785-4089.

What is That 1 Home's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for That 1 Home was last updated on June 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.