Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

That 1 Home

Organization Registered Nurse · NPI 1114769130

That 1 Home is a Registered Nurse in Katy, Texas. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
5

Practice location Address checks out

19126 Mossy Hedge Ln
Katy, TX 77449-4133
Phone: (832) 785-4089
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) Taxonomy 320900000X
Registered Nurse Taxonomy 163W00000X
Administrator Registered Nurse Taxonomy 163WA2000X
Case Manager/Care Coordinator Taxonomy 171M00000X
Long-Term Care Clinical Nurse Specialist Taxonomy 364SL0600X

Record details

NPI number1114769130
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Deandra Johnson-Egesi — Program Manager · (832) 785-4089
NPI enumeratedJune 10, 2024
Last updated in NPPESJune 19, 2024
Certification dateJune 19, 2024
Mailing address19126 Mossy Hedge Ln, Katy, TX 77449-4133

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