TRI-COUNTY BEHAVIORAL HEALTHCARE (NPI# 1114943453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114943453 |
| Entity Type | Organization |
| Organization Name | TRI-COUNTY BEHAVIORAL HEALTHCARE |
| Other Organization Name | LEGION STREET HOUSE |
| Practice Address |
206 Charles Barker Ave Cleveland TX 77327-4711 |
| Mailing Address |
Po Box 3067 Conroe TX 77305-3067 |
| Practice Telephone | 9365216100 |
| Mailing Telephone | 9365216100 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2015-04-27 |
| Authorized Official Name | BEVERLY A STANDLEY (REIMBURSEMENT MANAGER) |
| Authorized Official Telephone | 9365216100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 000389101 | 05 |
| Other Name | Type Code |
|---|---|
| Legion Street House | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932219821 | Tri-county Behavioral Healthcare | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 610 E Loop 336 North, Conroe, TX 77301 | 2006-08-30 |
| 1508887241 | Tri-county Behavioral Healthcare | Intermediate Care Facility, Mentally Retarded | 1420 Holly St, Liberty, TX 77575-3118 | 2006-07-21 |
| 1982623732 | Tri-county Behavioral Healthcare | Intermediate Care Facility, Mentally Retarded | 802 Lee Ave, Cleveland, TX 77327-5127 | 2006-07-19 |
| 1982620266 | Tri-county Behavioral Healthcare | Intermediate Care Facility, Mentally Retarded | 201 Avenue B, Liberty, TX 77575-9563 | 2006-07-13 |
| 1891711164 | Tri-county Behavioral Healthcare | Intermediate Care Facility, Mentally Retarded | 104 Patricia Ln, Conroe, TX 77301-5138 | 2006-07-13 |
| 1851316145 | Tri-county Behavioral Healthcare | Intermediate Care Facility, Mentally Retarded | 2223 N Thompson St, Conroe, TX 77303-1727 | 2006-07-13 |
| 1841215175 | Tri-county Behavioral Healthcare | Intermediate Care Facility, Mentally Retarded | 28902 Enchanted Dr, Spring, TX 77381-1105 | 2006-07-13 |
| 1861418147 | Tri-county Behavioral Healthcare | Intermediate Care Facility, Mentally Retarded | 63 State Highway 75 N, Huntsville, TX 77320-3863 | 2006-07-13 |
| 1851333074 | Tri-county Behavioral Healthcare | Clinic/Center | 233 Sgt Ed Holcomb Blvd S, Conroe, TX 77304-1990 | 2006-06-12 |
| 1750337465 | Tri-county Behavioral Healthcare | Clinic/Center | 1506 Fm 2854 Rd, Conroe, TX 77304-2206 | 2006-05-25 |
| Street Address |
206 CHARLES BARKER AVE |
| City | CLEVELAND |
| State | TX |
| Zip Code | 77327-4711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235652074 | D&s Residential Services, Lp | Intermediate Care Facility, Mentally Retarded | 206 Charles Barker Ave, Cleveland, TX 77327-4711 | 2017-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306454525 | Secure Hands, LLC | Home Delivered Meals | 811 Lyle West Ave Unit C, Cleveland, TX 77327 | 2020-07-14 |
| 1598236861 | Noviembre LLC | Pharmacy | 200 E. Boothe Street, Suite 103, Cleveland, TX 77327 | 2018-12-16 |
| 1982191912 | Apn Pharmacy LLC | Pharmacy | 105 N San Jacinto Ave, Cleveland, TX 77327 | 2018-04-16 |
| 1689102642 | Nikki J0 Morgan | Nurse Practitioner | 117 S William Barnett Ave Ste A, Cleveland, TX 77327 | 2017-06-02 |
| 1811439292 | Charlotte Susanne Key | Nurse Practitioner | 211 S College Avenue, Cleveland, TX 77327 | 2016-11-16 |
| 1235439670 | Er Doc 24 7 Pllc | Emergency Medicine | 705 E. Houston St., Cleveland, TX 77327 | 2010-11-02 |
| 1255522447 | Latresha J Mcbride | Pediatrics | 300 E Houston, Ste A, Cleveland, TX 77327 | 2007-08-05 |
| 1104035914 | Lanette C Sikes | Dentist | 117 E Houston, Cleveland, TX 77327 | 2007-05-21 |
| 1285851873 | Randy Lee Davis | Dentist | 429 W. Southline St. Suite#900, Cleveland, TX 77327 | 2007-04-18 |
| 1508996950 | City of Cleveland | Ambulance | 207 E Boothe, Cleveland, TX 77327 | 2007-03-06 |
| Find all providers in zip 77327 | ||||
| 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 |
|---|---|---|---|---|
| 1700201118 | Tamara M Cowans | Intermediate Care Facility, Mentally Retarded | 9409 Easton Ave, Cleveland, OH 44104-5417 | 2014-02-21 |
| 1679877518 | Life Bridges, Inc. | Intermediate Care Facility, Mentally Retarded | 207 Kile Lake Road, Cleveland, TN 37323 | 2011-01-07 |
| 1376847251 | Life Bridges, Inc. | Intermediate Care Facility, Mentally Retarded | 209 Kile Lake Road, Cleveland, TN 37323 | 2011-01-06 |
| 1801001524 | Cuyahoga County Bd. of Mrdd | Intermediate Care Facility, Mentally Retarded | 6809 Smith Rd, Cleveland, OH 44130-2681 | 2007-05-14 |
| 1164636007 | Cuyahoga County Bd. of Mrdd | Intermediate Care Facility, Mentally Retarded | 2440 W 14th St, Cleveland, OH 44113-4406 | 2007-05-10 |
| 1427262369 | Cuyahoga County Bd. of Mrdd | Intermediate Care Facility, Mentally Retarded | 2980 Van Aken Blvd, Cleveland, OH 44120-2862 | 2007-05-10 |
| 1407060684 | Cuyahoga County Bd of Mrdd | Intermediate Care Facility, Mentally Retarded | 1905 Green Rd, Cleveland, OH 44112-1021 | 2007-05-09 |
| 1487868790 | Cuyahoga County Bd of Mrdd | Intermediate Care Facility, Mentally Retarded | 4248 W 35th St, Cleveland, OH 44109-3108 | 2007-05-09 |
| 1336353432 | Cuyahoga County Bd of Mrdd | Intermediate Care Facility, Mentally Retarded | 4520 Monticello Blvd, Cleveland, OH 44143-2840 | 2007-05-09 |
| 1104039924 | Cuyahoga County Bd. of Mrdd | Intermediate Care Facility, Mentally Retarded | 19080 Bagley Rd, Cleveland, OH 44130-3310 | 2007-05-08 |
| Find all providers in CLEVELAND | ||||
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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.