D&S RESIDENTIAL SERVICES (NPI# 1023224789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023224789 |
| Entity Type | Organization |
| Organization Name | D&S RESIDENTIAL SERVICES |
| Practice Address |
1706 Idaho Avenue San Angelo TX 76904 |
| Mailing Address |
8911 North Capital of Texas Highway Building 1, Suite 1300 Austin TX 78759-7203 |
| Practice Telephone | 3259444096 |
| Practice Fax Number | 5123275355 |
| Mailing Telephone | 5123272325 |
| Mailing Fax Number | 5122632161 |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2015-09-08 |
| Authorized Official Name | MR. MICKEY ATKINS (PRESIDENT/CEO) |
| Authorized Official Telephone | 5126281518 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 001014261 | TX | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 001014261 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114304904 | D&s Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2401 Dijon Dr, Cedar Park, TX 78613-4710 | 2015-04-30 |
| 1396122289 | D&s Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 313 Sunset Dr, Burnet, TX 78611-9737 | 2015-04-30 |
| 1851778740 | D&s Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 407 County Road 320, Bertram, TX 78605-4118 | 2015-04-30 |
| 1649657610 | D&s Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 648 West Cedar Street, Bertram, TX 78605 | 2015-04-29 |
| 1659768208 | D&s Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 705 Kincheloe St, Burnet, TX 78611-1933 | 2015-04-22 |
| 1952798514 | D&s Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1513 Bluebonnet Dr, Marble Falls, TX 78654-4558 | 2015-04-22 |
| 1972990539 | D&s Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 611 Pomegranate Pass, Cedar Park, TX 78613-3790 | 2015-04-22 |
| 1922495571 | D&s Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1260 W State Highway 29, Bertram, TX 78605-4022 | 2015-04-22 |
| 1295177822 | D&s Residential Services | Intermediate Care Facility, Mentally Retarded | 2803 Darolyn St, Bartlett, TN 38134-4729 | 2013-07-24 |
| 1952538951 | D&s Residential Services | In Home Supportive Care | 3343 Perimeter Hill Dr, Ste. 101, Nashville, TN 37211-4169 | 2009-06-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | D&S Residential Services LP | 8911 N Capital of Texas Hwy, Bldg 1 Ste 1300, Austin, Texas 78759 |
| Washington State Corporations | D&S RESIDENTIAL SERVICES, LP | 2502 5th St Crt Nw, Gig Harbor, WA 98335 |
| Oklahoma Business Registrations | D&S RESIDENTIAL SERVICES, LP | 8911 N Capital of Texas Hwy, Austin, TX 78759 |
| Street Address |
1706 IDAHO AVENUE |
| City | SAN ANGELO |
| State | TX |
| Zip Code | 76904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407342702 | Mark Wandal Duncan | Specialist/Technologist | 2237 South Jackson, San Angelo, TX 76904 | 2018-07-10 |
| 1700267259 | Sheila Patterson | Nurse Practitioner | 4251 Sunset Drive, San Angelo, TX 76904 | 2015-06-10 |
| 1346649316 | Mason William Mcclintock | Dentist | 2402 College Hills Blvd. Building 1, Building 1, San Angelo, TX 76904 | 2014-08-15 |
| 1265855712 | Lynn M. Thebo, Lcsw, Pllc | Social Worker | 3109 Southwest Blvd. Ste. B, San Angelo, TX 76904 | 2014-02-03 |
| 1487077459 | Lynn Marie Thebo | Social Worker | 3109 Southwest Blvd., Ste. B, San Angelo, TX 76904 | 2014-01-28 |
| 1558646521 | John Porter Parker Jr. | Pharmacist | 3705 Threewn Trail, San Angelo, TX 76904 | 2011-10-20 |
| 1568772036 | Medical Alliance Group of Texas, LLC | Durable Medical Equipment & Medical Supplies | 2525 S Johnson Ste A, San Angelo, TX 76904 | 2010-10-18 |
| 1578796710 | Jennifer L White | Physical Therapist | 2237 S. Jackson, San Angelo, TX 76904 | 2009-09-03 |
| 1548443203 | Kelly K. Sawyer, D.d.s., P.a. | Dentist | 3013 W. Loop 306, San Angelo, TX 76904 | 2007-12-17 |
| 1285855338 | Marty Daniel | Pharmacist | 3520 Knickerbocker Road Suite A, San Angelo, TX 76904 | 2007-05-02 |
| Find all providers in zip 76904 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033759758 | Daybreak, Inc. | Intermediate Care Facility, Mentally Retarded | 4801 Bermuda Dr, San Angelo, TX 76904-7204 | 2020-01-10 |
| 1487294104 | Daybreak, Inc. | Intermediate Care Facility, Mentally Retarded | 3217 Clearview Dr, San Angelo, TX 76904-7356 | 2020-01-10 |
| 1053951764 | Daybreak, Inc. | Intermediate Care Facility, Mentally Retarded | 3221 Southland Blvd, San Angelo, TX 76904-7331 | 2020-01-10 |
| 1548800485 | Daybreak, Inc. | Intermediate Care Facility, Mentally Retarded | 165 Edinburgh Rd, San Angelo, TX 76901-9502 | 2020-01-08 |
| 1285274126 | Daybreak, Inc. | Intermediate Care Facility, Mentally Retarded | 2742 Palo Duro Dr, San Angelo, TX 76904-7449 | 2020-01-08 |
| 1598253429 | Educare Community Living Corporation - Gulf Coast | Intermediate Care Facility, Mentally Retarded | 5322 Saddle Ridge Trl, San Angelo, TX 76904-7224 | 2018-04-26 |
| 1184830853 | D&s Residential Services | Intermediate Care Facility, Mentally Retarded | 42 Terrace Drive, San Angelo, TX 76903 | 2007-05-16 |
| 1821204587 | D&s Residential Services | Intermediate Care Facility, Mentally Retarded | 2706 Watson Street, San Angelo, TX 76905 | 2007-05-16 |
| 1649486309 | D&s Residential Services | Intermediate Care Facility, Mentally Retarded | 1342 Tres Rios Drive, San Angelo, TX 76903 | 2007-05-16 |
| 1730395492 | D&s Residential Services | Intermediate Care Facility, Mentally Retarded | 1041 East 44th Street, San Angelo, TX 76903 | 2007-05-16 |
| Find all providers in SAN ANGELO | ||||
| City | SAN ANGELO |
| Zip Code | 76904 |
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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.