TEXAS PANHANDLE MHMR (NPI# 1003031170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003031170 |
Entity Type | Organization |
Organization Name | TEXAS PANHANDLE MHMR |
Other Organization Name | EARLY CHILDHOOD INTERVENTION |
Practice Address |
901 Wallace Blvd Amarillo TX 79106-1705 |
Mailing Address |
Po Box 3250 Amarillo TX 79116-3250 |
Practice Telephone | 8063588974 |
Practice Fax Number | 8063590506 |
Mailing Telephone | 8063588974 |
Mailing Fax Number | 8063590506 |
Enumeration Date | 2007-04-16 |
Last Update Date | 2016-01-04 |
Authorized Official Name | MRS. SARAH HERNANDEZ (REIMBURSEMENT OFFICER 1) |
Authorized Official Telephone | 8066772109 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 251B00000X | Case Management | TX | Agencies | |
Y | 251C00000X | Day Training, Developmentally Disabled Services | TX | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 017421101 | 05 |
Other Name | Type Code |
---|---|
Early Childhood Intervention | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164538088 | Texas Panhandle Mhmr | Counselor | 901 Wallace Blvd Bldg 501, Amarillo, TX 79106-1705 | 2006-08-22 |
1912900101 | Texas Panhandle Mhmr | Case Management | 901 Wallace Blvd, Bldg 501, Amarillo, TX 79106-1705 | 2005-05-23 |
1225097223 | Texas Panhandle Mhmr | Case Manager/Care Coordinator | 901 Wallace Blvd, Building 501, Amarillo, TX 79106-1705 | 2006-03-20 |
Street Address |
901 WALLACE BLVD |
City | AMARILLO |
State | TX |
Zip Code | 79106-1705 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912900101 | Texas Panhandle Mhmr | Case Management | 901 Wallace Blvd, Bldg 501, Amarillo, TX 79106-1705 | 2005-05-23 |
1265076558 | Jennifer Mckay | Counselor | 901 Wallace Blvd, Amarillo, TX 79106-1705 | 2019-10-30 |
1285101907 | Halzie Wingo | Speech-Language Pathologist | 901 Wallace Blvd, Amarillo, TX 79106-1705 | 2018-10-31 |
1447774310 | Jordan Michelle Craig | Physical Therapist | 901 Wallace Blvd, Amarillo, TX 79106-1705 | 2017-08-01 |
1821512989 | Doris Elena Ironfield | Speech-Language Pathologist | 901 Wallace Blvd, Amarillo, TX 79106-1705 | 2017-07-31 |
1912454133 | Sydney Kidwell | Speech-Language Pathologist | 901 Wallace Blvd, Amarillo, TX 79106-1705 | 2016-09-06 |
1104206853 | Texas Panhandle Mental Health Mental Retardation | Clinic/Center | 901 Wallace Blvd, Amarillo, TX 79106-1705 | 2015-06-08 |
1306195623 | Anna Barraza-derda | Speech-Language Pathologist | 901 Wallace Blvd, Amarillo, TX 79106-1705 | 2012-08-31 |
1487919387 | Deborah Mueffelmann Collins | Speech-Language Pathologist | 901 Wallace Blvd, Amarillo, TX 79106-1705 | 2012-07-08 |
1750550125 | Barbara G London | Counselor | 901 Wallace Blvd, Bldg. 501, Amarillo, TX 79106-1705 | 2008-02-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538773205 | Nisha Patel | Pharmacist | 1600 S Western Street, Amarillo, TX 79106 | 2020-09-01 |
1043851769 | Diana Moore | Pharmacist | 6010 Amarillo Blvd W (119), Amarillo, TX 79106 | 2019-10-03 |
1164988127 | Wade Family Services Pllc | Counselor | 1901 Medi Park Dr Suite 130, Amarillo, TX 79106 | 2019-02-14 |
1255802963 | Jennifer Cockrum | Hospitalist | Bsa Hospitalist, 1600 Wallace Blvd., Amarillo, TX 79106 | 2018-12-07 |
1346736691 | Denise Mills Donnell | Social Worker | 6010 Amarillo Bouldevard West Clc-b, Amarillo, TX 79106 | 2018-07-10 |
1124525472 | Abigail Batson | Student in an Organized Health Care Education/Training Program | 1400 S Coulter Street, Suite 1500, Amarillo, TX 79106 | 2018-04-11 |
1053812743 | Moc Amarillo, LLC | Skilled Nursing Facility | 1540 Research St., Amarillo, TX 79106 | 2018-02-27 |
1013459437 | Larry G. Schulz | Durable Medical Equipment & Medical Supplies | 1901 Medi Park Dr Ste 219, Amarillo, TX 79106 | 2016-11-16 |
1922453315 | Omar Saeed M Alzhrani | Student in an Organized Health Care Education/Training Program | 1400 S. Coulter - Suite 5100, Amarillo, TX 79106 | 2016-05-04 |
1972967529 | David Wayne Hohon | Internal Medicine | Bsa Physician Group, 1600 Wallace Blvd., Amarillo, TX 79106 | 2016-04-11 |
Find all providers in zip 79106 |
Taxonomy Code | 251C00000X |
Grouping | Agencies |
Classification | Day Training, Developmentally Disabled Services |
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114483815 | Augusta Walker | Day Training, Developmentally Disabled Services | 609 S Jefferson St, Amarillo, TX 79101-2121 | 2019-02-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790384121 | Texas Agapecare, LLC | Day Training, Developmentally Disabled Services | 2211 N Lamar St Ste 225, Dallas, TX 75202-1005 | 2020-10-17 |
1467067538 | Jacorea Breon Taylor | Day Training, Developmentally Disabled Services | 1727 Park Oak Dr, Conroe, TX 77304-1777 | 2020-09-15 |
1184247926 | Two Hands Pllc | Day Training, Developmentally Disabled Services | 3945 Braxton Dr Ste 1, Houston, TX 77063 | 2020-05-27 |
1073152823 | Together We Care | Day Training, Developmentally Disabled Services | 507c S Lake Dallas Dr, Lake Dallas, TX 75065-2778 | 2019-12-26 |
1679118863 | Eric L Middleton | Day Training, Developmentally Disabled Services | 1701 Lennox Ave, Killeen, TX 76549-2147 | 2019-11-12 |
1538702576 | Karehab LLC | Day Training, Developmentally Disabled Services | 1034 1st St E, Humble, TX 77338-4778 | 2019-10-22 |
1609418110 | Damswill Care Services, LLC | Day Training, Developmentally Disabled Services | 103 Carlie Way, Stafford, TX 77477-5239 | 2019-10-16 |
1427690692 | Treasured Hearts Life Skills Activity Center | Day Training, Developmentally Disabled Services | 914 N Dallas Ave, Lancaster, TX 75146-1616 | 2019-10-09 |
1093366882 | Pamela Ann Knebel | Day Training, Developmentally Disabled Services | 2106 Huisache St, Brenham, TX 77833-5818 | 2019-09-24 |
1871143800 | Sonya Lorraine Townsend | Day Training, Developmentally Disabled Services | 12814 Hawthorne Shores Dr, Houston, TX 77044-1255 | 2019-09-11 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.