ALPHA ELLIOTT ANTHAMATTEN (NPI# 1104199900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104199900 |
| Entity Type | Individual |
| Full Name | ALPHA ELLIOTT ANTHAMATTEN |
| Other Name | ALPHA ELLIOTT QUINN |
| Practice Address |
1306 Buccaneer Dr Abilene TX 79605-3735 |
| Practice Telephone | 3256951745 |
| Practice Fax Number | 3256951745 |
| Mailing Telephone | 3256951745 |
| Mailing Fax Number | 3256951745 |
| Enumeration Date | 2012-02-10 |
| Last Update Date | 2015-12-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253J00000X | Foster Care Agency | Agencies |
| Street Address |
1306 BUCCANEER DR |
| City | ABILENE |
| State | TX |
| Zip Code | 79605-3735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003440389 | James Mccoy's Midtown Drug Store, Inc | Pharmacy | 1417 S Willis, Abilene, TX 79605 | 2020-02-26 |
| 1457694820 | Texas Neurology Clinic PC | Counselor | 4755 Hartford, Abilene, TX 79605 | 2013-04-03 |
| 1750656328 | Victor Lee Orthodontics Pllc | Dentist | 2209 S, Danville, Abilene, TX 79605 | 2012-03-15 |
| 1184902868 | Traci Jean King | Dentist | 2381 South 32nd St, Abilene, TX 79605 | 2011-07-28 |
| 1306143706 | Sara Aalyce Snowden | Physical Therapist | 4601 Hartford Street, Abilene, TX 79605 | 2011-02-21 |
| 1679735450 | Comprehensive Psychological Services, Ltd. | Psychologist | 5320 Lamesa Ave, Abilene, TX 79605 | 2008-07-02 |
| 1568652907 | Mary Ann Jones | Counselor | 1290 S. Willis St., Suite 117, Abilene, TX 79605 | 2007-08-01 |
| 1548389299 | Jillian Svend Koslan | Speech-Language Pathologist | Southwest Therapy Associates, 3233 South Willis Street, Abilene, TX 79605 | 2007-03-27 |
| 1245362532 | Brenda D Mcdonald | Custodial Care Facility | 714 S San Jose, Abilene, TX 79605 | 2007-03-12 |
| 1629124680 | Peggy Gene Martin | Counselor | 1290 S Willis, Ste 1221, Abilene, TX 79605 | 2007-01-25 |
| Find all providers in zip 79605 | ||||
| Taxonomy Code | 253J00000X |
| Grouping | Agencies |
| Classification | Foster Care Agency |
| A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes. |
| Notes: Source: Code Of Federal Regulations, Title 45, Volume 4, Part 1355, Section 57 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114328176 | Shelley Suzann Benavides | Foster Care Agency | 2501 S 28th St, Abilene, TX 79605-6335 | 2014-09-09 |
| 1962779462 | The Retreat Residential Care Home | Foster Care Agency | 2518 Helena Cir, Abilene, TX 79606-3425 | 2011-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316553258 | Ruth Guillen | Foster Care Agency | 2032 N 77 Sunshinestrip, Harlingen, TX 78550-4127 | 2020-09-16 |
| 1255951562 | Toni Lee Leday | Foster Care Agency | 3210 Clipper Winds Way, Houston, TX 77084-7618 | 2020-04-16 |
| 1528697794 | Melba Foster Care | Foster Care Agency | 21934 Grand Brook Ln, Richmond, TX 77469-6362 | 2020-04-08 |
| 1285267955 | Vanessa Horn | Foster Care Agency | 851 Woodridge Cir, Desoto, TX 75115-7568 | 2020-02-20 |
| 1215597422 | Samuel E. Aghaziem | Foster Care Agency | 228 The Falls Dr, Sunnyvale, TX 75182-6204 | 2019-06-19 |
| 1285199752 | Starry | Foster Care Agency | 1300 N Mays St, Round Rock, TX 78664-4207 | 2019-02-08 |
| 1003391947 | Bertha Alicia Carvallo | Foster Care Agency | 2725 Fillmore, El Paso, TX 79930 | 2018-09-26 |
| 1861987141 | Madre Teresa Adult Foster Home | Foster Care Agency | 2909 Lake Spier Dr, El Paso, TX 79936-3319 | 2018-06-28 |
| 1386136612 | Advantage Star | Foster Care Agency | 1801 N Hampton Rd Ste 418, Desoto, TX 75115-2422 | 2018-06-01 |
| 1730670589 | Monica Graves | Foster Care Agency | 1029 Aries St, Cedar Hill, TX 75104-3263 | 2018-05-27 |
| Find all providers with the same taxonomy | ||||
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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.