MISSION ROAD DEVELOPMENTAL CENTER (NPI# 1154497444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154497444 |
| Entity Type | Organization |
| Organization Name | MISSION ROAD DEVELOPMENTAL CENTER |
| Practice Address |
8706 Mission Rd San Antonio TX 78214-3140 |
| Practice Telephone | 2109249265 |
| Mailing Telephone | 2109249265 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LORA BUTLER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2103342437 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251X00000X | Supports Brokerage | 006018 | TX | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780761171 | Mission Road Developmental Center | Intermediate Care Facility, Mentally Retarded | 131 Burr Rd, San Antonio, TX 78209-6217 | 2006-11-01 |
| 1295812600 | Mission Road Developmental Center | Intermediate Care Facility, Mentally Retarded | 7520 S Sea Ln, San Antonio, TX 78216-6677 | 2006-11-01 |
| 1366529786 | Mission Road Developmental Center | Supports Brokerage | 8706 Mission Rd, San Antonio, TX 78214-3140 | 2006-11-01 |
| 1346327756 | Mission Road Developmental Center | Intermediate Care Facility, Mentally Retarded | 7618 Mockingbird Ln, San Antonio, TX 78229-2624 | 2006-11-01 |
| 1538532429 | Mission Road Developmental Center | Assisted Living Facility | 8706 Mission Rd, San Antonio, TX 78214-3140 | 2015-11-02 |
| 1164595963 | Mission Road Developmental Center | Case Management | 8706 Mission Rd, San Antonio, TX 78214-3140 | 2006-11-17 |
| 1356411946 | Mission Road Developmental Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 8706 Mission Rd, San Antonio, TX 78214-3140 | 2006-11-09 |
| 1649340407 | Mission Road Developmental Center | Assisted Living Facility | 8706 Mission Rd, San Antonio, TX 78214-3140 | 2006-11-09 |
| 1699844969 | Mission Road Developmental Center | Supports Brokerage | 8706 Mission Rd, San Antonio, TX 78214-3140 | 2006-11-08 |
| 1629148846 | Mission Road Developmental Center | Day Training, Developmentally Disabled Services | 8706 Mission Rd, San Antonio, TX 78214-3140 | 2006-11-08 |
| Street Address |
8706 MISSION RD |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78214-3140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366529786 | Mission Road Developmental Center | Supports Brokerage | 8706 Mission Rd, San Antonio, TX 78214-3140 | 2006-11-01 |
| 1538532429 | Mission Road Developmental Center | Assisted Living Facility | 8706 Mission Rd, San Antonio, TX 78214-3140 | 2015-11-02 |
| 1164595963 | Mission Road Developmental Center | Case Management | 8706 Mission Rd, San Antonio, TX 78214-3140 | 2006-11-17 |
| 1356411946 | Mission Road Developmental Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 8706 Mission Rd, San Antonio, TX 78214-3140 | 2006-11-09 |
| 1649340407 | Mission Road Developmental Center | Assisted Living Facility | 8706 Mission Rd, San Antonio, TX 78214-3140 | 2006-11-09 |
| 1699844969 | Mission Road Developmental Center | Supports Brokerage | 8706 Mission Rd, San Antonio, TX 78214-3140 | 2006-11-08 |
| 1629148846 | Mission Road Developmental Center | Day Training, Developmentally Disabled Services | 8706 Mission Rd, San Antonio, TX 78214-3140 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104380245 | Mission Event Senior Center LLC | Clinic/Center | 5614 South Flores Street, San Antonio, TX 78214 | 2019-01-23 |
| 1396239497 | Allen Ray Williams II | Chiropractor | 6000 Farm To Market 3009, Ste 200, San Antonio, TX 78214 | 2018-06-21 |
| 1326482027 | Rolando Gonzalez | Specialist/Technologist, Other | 1131 91st St, San Antonio, TX 78214 | 2013-04-24 |
| 1235425463 | Roberto Issac Cortez | Dentist | 3454 Roosevelt Avenue, San Antonio, TX 78214 | 2011-06-27 |
| 1104110501 | Mission Plaza Dental Pllc | Dentist | 3454 Roosevelt Ave., San Antonio, TX 78214 | 2011-06-02 |
| 1982904561 | Amir Ahmed | Pharmacist | 119 Huizar Street, Cyctic Fibrosis Services, San Antonio, TX 78214 | 2010-10-28 |
| 1962734160 | J. Andrew Jackson, D.d.s. Ltd., LLP | Dentist | 600 Division, Suite E., San Antonio, TX 78214 | 2010-02-12 |
| 1881805653 | Bruce Lee Vetters | Dentist | 6619 S Flores, San Antonio, TX 78214 | 2007-05-24 |
| 1053403147 | John D Cochran Dds Inc | Dentist | 5713 South Flores, San Antonio, TX 78214 | 2006-09-28 |
| 1306945415 | Idalia Ivanna Benavides | Specialist | 161 Tommins Ave., San Antonio, TX 78214 | 2006-09-22 |
| Find all providers in zip 78214 | ||||
| Taxonomy Code | 251X00000X |
| Grouping | Agencies |
| Classification | Supports Brokerage |
| A provider of service/function that assists participating individuals to make informed decisions about what will work best for them is consistent with their needs and reflects their individual circumstances. Serving as the agent of the individual, the service is available to assist in identifying immediate and long-term needs, developing options to meet those needs and accessing identified supports and services and may include assistance with recruiting, screening, hiring, and training in-home support providers. A family or person-centered planning approach is used. Supports Brokerage offers practical skills training to enable families and individuals to remain independent. Examples of skills training include providing information on recruiting and hiring personal care workers, managing personal care workers and providing information on effective communication and problem solving. The service/function provides sufficient information to assure that individuals understand the responsibilities involved with self-direction and assist in the development of an effective back-up and emergency plan. Plans may elect to fulfill the requirement of this service/function using a self-directed case manager or creating a distinct service. The Supports Brokerage documents the need for assistive services, planning for and documenting the use of excess funds and locating and maintaining services. |
| Notes: Source: CMS Independence Plus Waiver template. [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154810406 | Beach House Arts | Supports Brokerage | 114 N Ellison Dr Ste 403, San Antonio, TX 78251-5022 | 2018-05-02 |
| 1366529786 | Mission Road Developmental Center | Supports Brokerage | 8706 Mission Rd, San Antonio, TX 78214-3140 | 2006-11-01 |
| 1801027404 | Consumer Directed Services In Texas, Inc. | Supports Brokerage | 6243 Ih 10 West, Suite 430, San Antonio, TX 78201-2098 | 2009-07-30 |
| 1699844969 | Mission Road Developmental Center | Supports Brokerage | 8706 Mission Rd, San Antonio, TX 78214-3140 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295046 | Triumphant Healthcare Solutions LLC | Supports Brokerage | 590 N Kimball Ave Ste 100, Southlake, TX 76092-6878 | 2020-11-04 |
| 1790398097 | H.o.p. Efficient Financials LLC | Supports Brokerage | 405 Main St Ste 526, Houston, TX 77002-1837 | 2020-08-26 |
| 1841815339 | Icare Youth Services | Supports Brokerage | 111 S Young Blvd, Desoto, TX 75115-5517 | 2020-06-10 |
| 1881214054 | Wmac Group LLC | Supports Brokerage | 285 Cr Ne 2050, Mount Vernon, TX 75457 | 2020-04-17 |
| 1881226272 | Affective Financials LLC | Supports Brokerage | 9410 Mesa Dr Ste B, Houston, TX 77028-1201 | 2020-02-04 |
| 1508324856 | Charity Comfort Care Services. LLC | Supports Brokerage | 2944 E Illinois Ave, Dallas, TX 75216-3424 | 2019-03-06 |
| 1831660521 | Agile Guardcare | Supports Brokerage | 916 Crowder Dr, Crowley, TX 76036-3657 | 2018-12-06 |
| 1275041444 | Princess Velazquez | Supports Brokerage | 160 Palm Dr, Lancaster, TX 75146-1942 | 2018-01-22 |
| 1063867414 | Get Insured 75 | Supports Brokerage | 4595 W Spring Creek Pkwy Apt 3814, Plano, TX 75024-5249 | 2016-05-03 |
| 1396114286 | Diadem Hearts Inc. | Supports Brokerage | 2228 Mainsail Ln, Arlington, TX 76002-3876 | 2015-09-21 |
| Find all providers with the same taxonomy | ||||
| City | SAN ANTONIO |
| Zip Code | 78214 |
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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.