AVICENNACARE LLC
NPI 1396535928
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Richmond, TX

Active since May 07, 2025
5007 HICKORY DEER LN, RICHMOND, TX 77406(832) 766-7990 Get Directions Write a Review

NPPES record last updated: May 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Avicennacare Llc NPPES

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

AVICENNACARE LLC (NPI 1396535928) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Richmond, Texas and active in the NPI registry since May 2025. The organization lists Eniola Aderanti Gisanrin, Program Manager, as its authorized official.

NPPES Registry Identity

NPI1396535928
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameAVICENNACARE LLC
Location Address5007 HICKORY DEER LNRichmond, TX 77406-2953
Mailing Address5007 Hickory Deer LnRichmond, TX 77406-2953 · (832) 766-7990
Organization SubpartNo
Authorized OfficialEniola Aderanti GisanrinProgram Manager · (832) 766-7990
Enumeration DateMay 7, 2025
NPPES CertifiedMay 7, 2025
NPI 1396535928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
5007 HICKORY DEER LN, Richmond, TX 77406

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 Avicennacare LLC's NPI number?

The NPI number for Avicennacare LLC is 1396535928. It was assigned to this organization in the NPPES registry on May 7, 2025.

Where is Avicennacare LLC located?

Avicennacare LLC is located at 5007 Hickory Deer Ln, Richmond, TX 77406. The listed phone number is (832) 766-7990.

What is Avicennacare LLC'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 Avicennacare LLC was last updated on May 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.