ANDERSON CHEROKEE COMMUNITY ENRICHMENT SERVICES (NPI# 1124056585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124056585 |
| Entity Type | Organization |
| Organization Name | ANDERSON CHEROKEE COMMUNITY ENRICHMENT SERVICES |
| Other Organization Name | ACCESS |
| Practice Address |
803 Sharon St Rusk TX 75785 |
| Mailing Address |
5656 North Jackson Jacksonville TX 75766-9641 |
| Practice Telephone | 9036836151 |
| Practice Fax Number | 9036836151 |
| Mailing Telephone | 9035899000 |
| Mailing Fax Number | 9035893443 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2008-03-31 |
| Authorized Official Name | MRS. DIANA L STROM (REIMBURSEMENT COORDINATOR) |
| Authorized Official Telephone | 9035869000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 315P00000X | Intermediate Care Facility, Mentally Retarded | TX | Nursing & Custodial Care Facilities | |
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 45H172 | TX | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| ACCESS | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558563197 | Anderson Cherokee Community Enrichment Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5656 North Jackson, Jacksonville, TX 75766-9641 | 2007-06-05 |
| 1265560767 | Anderson Cherokee Community Enrichment Services | Counselor | 1011 College Ave, Jacksonville, TX 75766 | 2007-02-28 |
| 1750318333 | Anderson Cherokee Community Enrichment Services | Intermediate Care Facility, Mentally Retarded | 619 East Fourth, Rusk, TX 75785 | 2006-06-27 |
| 1821092677 | Anderson Cherokee Community Enrichment Services | Psychologist | 913 N Jackson St, Jacksonville, TX 75766-3801 | 2005-06-09 |
| 1780001503 | Anderson Cherokee Community Enrichment Services | Clinic/Center | 5656 N Jackson St, Jacksonville, TX 75766-9641 | 2014-03-19 |
| 1457553091 | Anderson Cherokee Community Enrichment Services | Day Training, Developmentally Disabled Services | 5656 North Jackson, Jacksonville, TX 75766-9641 | 2007-06-05 |
| 1710015201 | Anderson Cherokee Community Enrichment Services | Counselor | 1011 College Ave, Jacksonville, TX 75766 | 2007-02-28 |
| 1538297023 | Anderson Cherokee Community Enrichment Services | Case Management | 1011 College Ave, Jacksonville, TX 75766 | 2007-02-28 |
| 1447388939 | Anderson Cherokee Community Enrichment Services | Case Manager/Care Coordinator | 1011 College Ave, Jacksonville, TX 75766-3307 | 2007-02-28 |
| 1154325645 | Anderson Cherokee Community Enrichment Services | Psychologist | 5656 N Jackson St, Jacksonville, TX 75766-9641 | 2005-06-13 |
| Street Address |
803 SHARON ST |
| City | RUSK |
| State | TX |
| Zip Code | 75785 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841898137 | Pineywoods Physical Therapy LLC | Clinic/Center | 1400 West 6th Street, Suite 6 and 7, Rusk, TX 75785 | 2020-10-09 |
| 1184124943 | Deanna Adams | Nurse Practitioner | 1884 Fm343, Rusk, TX 75785 | 2018-02-19 |
| 1831584598 | Stacy Black, Dds, Pa | Dentist | 132 Hatchett, Rusk, TX 75785 | 2015-03-31 |
| 1770823759 | Kristina L Waggoner | Nurse Practitioner | 805 North Dickinson Drive, Rusk, TX 75785 | 2013-02-27 |
| 1104146257 | Rebecca Ann Vogt | Speech-Language Pathologist | 2205 East Johnson St., Rusk, TX 75785 | 2010-06-10 |
| 1710179569 | Julana Graham Schwartz | Speech-Language Pathologist | 2205 Johnson Dr., Rusk, TX 75785 | 2007-08-15 |
| 1154443844 | Alva Joy Jones | Counselor | 1400 Hwy 84 West, Cherokee Center, Suite 3, Rusk, TX 75785 | 2007-04-04 |
| 1902946916 | Stanley Self | Psychiatry & Neurology | 1601 North Dickinson Drive, Rusk, TX 75785 | 2007-02-07 |
| 1396895728 | Satyajeet Lahiri | Psychiatry & Neurology | 1601 N Dickinson Drive, Rusk, TX 75785 | 2007-01-10 |
| 1619039641 | Harry Thompson | Psychiatry & Neurology | 1601 Dickinson Drive, Rusk, TX 75785 | 2006-12-15 |
| Find all providers in zip 75785 | ||||
| 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 |
|---|---|---|---|---|
| 1750318333 | Anderson Cherokee Community Enrichment Services | Intermediate Care Facility, Mentally Retarded | 619 East Fourth, Rusk, TX 75785 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639271 | St. Giles Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 3323 Gail Ln, Tyler, TX 75701-7425 | 2020-11-05 |
| 1952902900 | St. Giles Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 2500 Terry Pl, Greenville, TX 75402-7131 | 2020-11-05 |
| 1811598865 | St. Giles Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 100 Patti J St, Greenville, TX 75402-8053 | 2020-11-05 |
| 1124629175 | St. Giles Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 2616 Pounds Ave, Tyler, TX 75701-5627 | 2020-11-05 |
| 1568063527 | St. Giles Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 2525 Preston Ave, Tyler, TX 75701-4644 | 2020-11-05 |
| 1104427509 | St. Giles Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 2812 Shaffer Ln, Tyler, TX 75702-1653 | 2020-11-03 |
| 1265033658 | St. Giles Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 3506 Garber Cir, Greenville, TX 75402-6234 | 2020-11-03 |
| 1487255873 | St. Giles Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 3600 New Copeland Rd, Tyler, TX 75701-8839 | 2020-11-03 |
| 1306446000 | Daybreak, Inc. | Intermediate Care Facility, Mentally Retarded | 6520 Braddock Pl, Dallas, TX 75232-2902 | 2020-10-30 |
| 1578179750 | Keondra C Johnson | Intermediate Care Facility, Mentally Retarded | 2140 Medical District Dr Apt 2052, Dallas, TX 75235-8097 | 2020-09-22 |
| 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.