MERCHANTS OF HOPE COMMUNITY MENTAL HEALTH CENTER (NPI# 1295034197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295034197 |
| Entity Type | Organization |
| Organization Name | MERCHANTS OF HOPE COMMUNITY MENTAL HEALTH CENTER |
| Practice Address |
4610 Castleman Dr Austin TX 78725-1718 |
| Mailing Address |
7901 Cameron Rd Ste 3-307 Austin TX 78754-3843 |
| Practice Telephone | 5122767038 |
| Mailing Telephone | 5129472305 |
| Mailing Fax Number | 5123829458 |
| Enumeration Date | 2011-03-18 |
| Last Update Date | 2011-03-18 |
| Authorized Official Name | MR. PETER CHINA EJIRIKA (ADMINISTRATOR) |
| Authorized Official Telephone | 5129472305 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385HR2055X |
Respite Care Specialization: Respite Care, Mental Illness, Child |
Respite Care Facility |
| Street Address |
4610 CASTLEMAN DR |
| City | AUSTIN |
| State | TX |
| Zip Code | 78725-1718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407222698 | Antonio Ruscitto II | Physical Therapist | 7401 Tx-71, #130, Austin, TX 78725 | 2015-08-11 |
| 1326454588 | Michael Parent | Psychologist | 11713 Saddle Rock Dr, Austin, TX 78725 | 2014-07-09 |
| 1013054303 | Rosie V Holmes | Lodging | 4707 Imperial Dr, Austin, TX 78725 | 2007-01-30 |
| 1457801433 | Emily C Griffin | Registered Nurse | 14312 Hunters Bend Rd, Austin, TX 78725-1826 | 2016-10-13 |
| 1043837800 | Melanie Lee Judice | Physician Assistant | 14312 Hunters Bend Rd, Austin, TX 78725-1826 | 2020-06-28 |
| 1992343537 | Central Texas Community Health Centers | Clinic/Center | 14312 Hunters Bend Rd, Austin, TX 78725-1826 | 2019-12-13 |
| 1396024550 | Jayme Katrice Moore | Midwife | 7709 Delwau Ln, Austin, TX 78725-2614 | 2011-08-05 |
| 1366815367 | Cristie Gralinski | Community Health Worker | 2601 Highland Haven Dr, Austin, TX 78725-2906 | 2015-11-12 |
| 1083189930 | Jettie C Young | Counselor | 4101 Louise Lee Dr, Austin, TX 78725-4005 | 2018-10-08 |
| 1730489600 | Aurea Luisa Negron | Licensed Practical Nurse | 14200 Sarah Ann Dr, Austin, TX 78725-4006 | 2010-10-26 |
| Find all providers in zip 78725 | ||||
| Taxonomy Code | 385HR2055X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Specialization | Respite Care, Mental Illness, Child |
| A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386185577 | Wmb Little Children | Respite Care | 19600 N Heatherwilde Blvd, #815, Pflugerville, TX 78660-7516 | 2017-03-20 |
| 1154563849 | Royal Trinity Care & Health Services, Inc. | Respite Care | 18226 Dusty Terrace Ln, Katy, TX 77449-7593 | 2009-03-27 |
| 1558572156 | Divine Assisted Center | Respite Care | 15502 Empanada Dr, Houston, TX 77083-4112 | 2007-05-24 |
| 1417557869 | Amboni Health Link Corp | Respite Care | 23438 Amoroso St, Richmond, TX 77406-2069 | 2020-10-26 |
| 1477108017 | Nirvana Behavioral Solutions,llc | Respite Care | 7111 Harwin Dr Ste 130, Houston, TX 77036-2130 | 2019-08-08 |
Please comment or provide details below to improve the information on MERCHANTS OF HOPE COMMUNITY MENTAL HEALTH CENTER.
| 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.