COASTAL PLAINS COMMUNITY MHMR CENTER (NPI# 1023161890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023161890 |
Entity Type | Organization |
Organization Name | COASTAL PLAINS COMMUNITY MHMR CENTER |
Other Organization Name | COASTAL PLAINS COMMUNITY CENTER |
Practice Address |
200 Marriott Dr Portland TX 78374-2213 |
Practice Telephone | 3617773991 |
Practice Fax Number | 3617770610 |
Mailing Telephone | 3617773991 |
Mailing Fax Number | 3617770610 |
Enumeration Date | 2007-01-18 |
Last Update Date | 2020-10-27 |
Authorized Official Name | MARK DURAND (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 3617773991 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
Other Name | Type Code |
---|---|
Coastal Plains Community Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194104026 | Coastal Plains Community Mhmr Center | Clinic/Center | 200 Marriott Drive, Portland, TX 78374-2213 | 2015-05-26 |
1114057700 | Coastal Plains Community Mhmr Center | Counselor | 200 Marriott Dr, Portland, TX 78374-2213 | 2007-03-06 |
1316090186 | Coastal Plains Community Mhmr Center | Day Training, Developmentally Disabled Services | 200 Marriott Dr, Portland, TX 78374-2213 | 2007-01-18 |
1861544124 | Coastal Plains Community Mhmr Center | Case Management | 200 Marriott Dr, Portland, TX 78374-2213 | 2007-01-17 |
1770635039 | Coastal Plains Community Mhmr Center | Clinic/Center | 200 Marriott Dr, Portland, TX 78374-2213 | 2007-01-17 |
1932251295 | Coastal Plains Community Mhmr Center | Case Management | 200 Marriott Dr, Portland, TX 78374-2213 | 2007-01-17 |
1851443113 | Coastal Plains Community Mhmr Center | Case Management | 200 Marriott Dr, Portland, TX 78374-2213 | 2007-01-17 |
1962552109 | Coastal Plains Community Mhmr Center | Psychiatry & Neurology | 200 Marriott Dr, Portland, TX 78374-2213 | 2007-01-11 |
Street Address |
200 MARRIOTT DR |
City | PORTLAND |
State | TX |
Zip Code | 78374-2213 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407905656 | Melissa Pringle | Speech-Language Pathologist | 200 Marriott Dr, Portland, TX 78374-2213 | 2007-01-09 |
1063938173 | Marwa Kelley | Counselor | 200 Marriott Dr, Portland, TX 78374-2213 | 2017-08-21 |
1073775003 | Blanca Estella Deleon | Speech-Language Pathologist | 200 Marriott Dr, Portland, TX 78374-2213 | 2008-07-01 |
1932367786 | Laura Moore Krol | Physical Therapist | 200 Marriott Dr, Portland, TX 78374-2213 | 2008-05-29 |
1578721569 | Kay Lynn Ryan | Speech-Language Pathologist | 200 Marriott Dr, Portland, TX 78374-2213 | 2008-05-28 |
1114057700 | Coastal Plains Community Mhmr Center | Counselor | 200 Marriott Dr, Portland, TX 78374-2213 | 2007-03-06 |
1316090186 | Coastal Plains Community Mhmr Center | Day Training, Developmentally Disabled Services | 200 Marriott Dr, Portland, TX 78374-2213 | 2007-01-18 |
1861544124 | Coastal Plains Community Mhmr Center | Case Management | 200 Marriott Dr, Portland, TX 78374-2213 | 2007-01-17 |
1770635039 | Coastal Plains Community Mhmr Center | Clinic/Center | 200 Marriott Dr, Portland, TX 78374-2213 | 2007-01-17 |
1932251295 | Coastal Plains Community Mhmr Center | Case Management | 200 Marriott Dr, Portland, TX 78374-2213 | 2007-01-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700407350 | Emad Banoub | Pharmacist | 1105 Hyw 181, Portland, TX 78374 | 2020-05-05 |
1184256893 | Rebecca Lovins | Behavior Technician | 304, Frio Dr, Portland, TX 78374 | 2020-02-11 |
1760962997 | Kimberly Beal | Licensed Vocational Nurse | 201 Sabine St, Portland, TX 78374 | 2018-08-16 |
1134577836 | Christopher Tipton | Specialist/Technologist | 4800 Wildcat Dr., Portland, TX 78374 | 2016-06-03 |
1134592629 | Coastal Bend Physicians Pllc | Clinic/Center | 1860 Us Highway 181, Suite C, Portland, TX 78374 | 2015-11-05 |
1093191397 | Coastal Er IIi, LLC | Clinic/Center | 1860 Highway 181 Frontage Road, Ste C, Portland, TX 78374 | 2015-08-10 |
1376942466 | Allen Portland Dentistry Associates Pllc | Dentist | 101 Cox Dr., Portland, TX 78374 | 2014-08-14 |
1699188284 | Leola Brumley | Speech-Language Pathologist | 2002 Matagorda Dr., Portland, TX 78374 | 2014-06-11 |
1780937607 | Erika Kristine De La Garza | Nurse Practitioner | 1702 Hwy. 181 North, Portland, TX 78374 | 2012-10-16 |
1538355219 | Andrew Marcus Rosendahl | Physician Assistant | 1912 Falcon Drive, Portland, TX 78374 | 2007-09-17 |
Find all providers in zip 78374 |
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 |
---|---|---|---|---|
1659924629 | Believe and Achieve. LLC | Day Training, Developmentally Disabled Services | 15376 Nw Nightshade Dr, Portland, OR 97229-1577 | 2019-07-18 |
1851601421 | Bolduc Employment Support & Training, LLC | Day Training, Developmentally Disabled Services | 175 Lancaster Street, Suite 218a, Portland, ME 04101 | 2010-10-18 |
1831418128 | Mainehealth | Day Training, Developmentally Disabled Services | 39 Forest Ave, Portland, ME 04101 | 2010-05-26 |
1427286350 | E. Terrance Smith | Day Training, Developmentally Disabled Services | 62 Melbourne Street, Portland, ME 04101-2727 | 2009-06-30 |
1215066287 | Affinity | Day Training, Developmentally Disabled Services | 400 Riverside St, Unit A4, Portland, ME 04103-1068 | 2007-03-05 |
1255499711 | Growing Opportunities, Inc. | Day Training, Developmentally Disabled Services | 1 Longfellow Sq, Suite 303, Portland, ME 04101-3792 | 2006-12-05 |
1437227535 | Trillium Family Services | Day Training, Developmentally Disabled Services | 3415 Se Powell Boulevard, Portland, OR 97202 | 2006-11-30 |
1861605651 | Portland Public Schools | Day Training, Developmentally Disabled Services | 196 Allen Ave, Portland, ME 04103-3711 | 2007-05-08 |
1316090186 | Coastal Plains Community Mhmr Center | Day Training, Developmentally Disabled Services | 200 Marriott Dr, Portland, TX 78374-2213 | 2007-01-18 |
1497810964 | Peregrine Corporation | Day Training, Developmentally Disabled Services | 1011 Forest Avenue, Portland, ME 04103 | 2006-12-26 |
Find all providers in PORTLAND |
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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.