MR. RAYFIELD WAYNE JEFFERSON SR. (NPI# 1114165495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114165495 |
| Entity Type | Individual |
| Full Name | MR. RAYFIELD WAYNE JEFFERSON SR. |
| Practice Address |
2330 Fm 222 Coldspring TX 77331 |
| Mailing Address |
Po Box 142 Coldspring TX 77331-0142 |
| Practice Telephone | 9366534113 |
| Mailing Telephone | 9366534113 |
| Enumeration Date | 2009-01-26 |
| Last Update Date | 2009-01-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Street Address |
2330 FM 222 |
| City | COLDSPRING |
| State | TX |
| Zip Code | 77331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801410907 | Rayshell Lynnette Dean | Technician | 2275 Hwy 150, Coldspring, TX 77331 | 2020-06-04 |
| 1760627806 | Alexandra Spigelmyer Elliott | Occupational Therapist | 61 Church St., Coldspring, TX 77331 | 2008-12-03 |
| 1053534248 | Senior Citizens of San Jacinto County | Voluntary or Charitable | 60 Butler Street, Coldspring, TX 77331 | 2007-04-10 |
| 1700911609 | Jeffery Hugh Anderson | Chiropractor | 123 Coldspring Square, Coldspring, TX 77331 | 2007-02-22 |
| 1285734624 | Brookshire Brothers Inc | Pharmacy | 14761 Hwy 150 West, Coldspring, TX 77331 | 2006-09-25 |
| 1962439919 | Brookshire Brothers Inc | Pharmacy | 15100 Hwy 150 W, Coldspring, TX 77331 | 2006-06-26 |
| 1932197068 | Bill Ralph Sykes Jr. | Chiropractor | 15140 Hwy 150 We, Coldsprings, TX 77331 | 2005-10-12 |
| 1316073273 | Coldspring-oakhurst Cisd | Local Education Agency (LEA) | 14210 Highway 150, Coldspring, TX 77331-0039 | 2007-02-26 |
| 1083728596 | Jeffrey C. Brown | Dentist | 15130 State Hwy 150 West, Coldspring, TX 77331-0547 | 2006-08-19 |
| 1568070423 | Sara Crawford | Registered Nurse | 1831 S Butch Arther Rd, Coldspring, TX 77331-1449 | 2020-07-16 |
| Find all providers in zip 77331 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811135387 | Rayfield Jefferson | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2330 Fm 222 Loop N, Coldspring, TX 77331-7332 | 2009-01-21 |
| 1275779670 | A&s Support Services, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 643 Mack Wheatley Rd, Coldspring, TX 77331-7209 | 2009-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619581782 | Joyful Psalm | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1354 Ravenwood Ct, Crowley, TX 76036-3472 | 2020-09-04 |
| 1790394161 | Modern Vintage Residential Care, LLC. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4015 Alexis Tate Cir, Missouri City, TX 77459-5039 | 2020-07-30 |
| 1285253856 | 1 Care Premier Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 340 N Sam Houston Pkwy E Ste A247, Houston, TX 77060-3305 | 2020-04-13 |
| 1568093888 | James Micah Howard | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 11911 Lakewood Trl, Tomball, TX 77377-8563 | 2020-01-27 |
| 1518507110 | Gems Residence LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5810 Liverpool St, Aubrey, TX 76227-1909 | 2020-01-10 |
| 1366081812 | Abundant Care Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1100 Maxfield St, Waco, TX 76705-2967 | 2020-01-02 |
| 1306487426 | Fort Healthcare LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5833 Oakbend Trail, #200, Fort Worth, TX 76132-3900 | 2019-09-30 |
| 1144877481 | Boniswa Portia Maduna | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 8000 Cook Rd Apt 1109, Houston, TX 77072-3939 | 2019-08-21 |
| 1871148171 | Kenneth Allen | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 135 E Menefee St, Lufkin, TX 75901-4701 | 2019-08-05 |
| 1124673553 | 1st A & M Healthcare Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 504 Spicewood Dr, Desoto, TX 75115-1485 | 2019-08-02 |
| Find all providers with the same taxonomy | ||||
| City | COLDSPRING |
| Zip Code | 77331 |
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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.