MISSION ROAD DEVELOPMENTAL CENTER (NPI# 1295812600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295812600 |
| Entity Type | Organization |
| Organization Name | MISSION ROAD DEVELOPMENTAL CENTER |
| Practice Address |
7520 S Sea Ln San Antonio TX 78216-6677 |
| Mailing Address |
8706 Mission Rd San Antonio TX 78214-3140 |
| Practice Telephone | 2103771328 |
| Mailing Telephone | 2109249265 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LORA BUTLER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2103342460 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 108871 | TX | Nursing & Custodial Care Facilities |
| 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 |
| 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 |
| 1154497444 | Mission Road Developmental Center | Supports Brokerage | 8706 Mission Rd, San Antonio, TX 78214-3140 | 2006-11-28 |
| 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 |
7520 S SEA LN |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78216-6677 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376179820 | Damiana Lea Mcmahan | Speech-Language Pathologist | 12 Inter Park Blvd, #105, San Antonio, TX 78216 | 2020-03-17 |
| 1811530967 | Hacienda Hospice, Ltd | Hospice Care, Community Based | 101 W Silver Sands Dr, San Antonio, TX 78216 | 2019-10-22 |
| 1437792876 | Eddy Sidra | Optometrist | 7400 San Pedro Avenue, Suite 486, San Antonio, TX 78216 | 2019-10-17 |
| 1083256796 | Tiffany Michelle Goericke | Physical Therapist | 502 East Ramsey, San Antonio, TX 78216 | 2019-10-14 |
| 1780246942 | Esperanza Eating Disorders Center, Pllc | Clinic/Center | 403 E. Ramsey, Suite 204, San Antonio, TX 78216 | 2019-07-08 |
| 1568938314 | Lyric Lea Lewis | Licensed Vocational Nurse | 85 Ne Interstate 410 Loop #500, San Antonio, TX 78216 | 2018-10-19 |
| 1912488206 | Rebecca Anna Poppe | Licensed Vocational Nurse | 1514 Vista Del Norte, San Antonio, TX 78216 | 2018-08-24 |
| 1205338779 | Bailee Hannah Mokry | Behavioral Analyst | 11306 Sir Winston, San Antonio, TX 78216 | 2018-03-01 |
| 1487155677 | Ojer Corbie | Behavior Technician | 11310 Sir Winston At Bld D, San Antonio, TX 78216 | 2018-02-23 |
| 1366943631 | Briana Nicole Rodriguez | Behavior Technician | 14235 Blanco Road, San Antonio, TX 78216 | 2018-02-22 |
| Find all providers in zip 78216 | ||||
| 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 |
|---|---|---|---|---|
| 1134760002 | Premieant Inc | Intermediate Care Facility, Mentally Retarded | 6402 Regency Cv, San Antonio, TX 78249-4844 | 2019-10-02 |
| 1285299636 | Educare Community Living Corporation - Texas | Intermediate Care Facility, Mentally Retarded | 6647 Cades Cv, San Antonio, TX 78238-2238 | 2019-05-01 |
| 1730744186 | Educare Community Living Corporation - Texas | Intermediate Care Facility, Mentally Retarded | 7422 Quail Run Dr, San Antonio, TX 78209-3129 | 2019-05-01 |
| 1346692712 | Anchor Habilitation Service LLC | Intermediate Care Facility, Mentally Retarded | 18843 Redland Rd, San Antonio, TX 78259-3562 | 2016-07-08 |
| 1649609132 | Educare Community Living Corporation - Texas | Intermediate Care Facility, Mentally Retarded | 5303 Vista Run Dr, San Antonio, TX 78247-4684 | 2013-11-05 |
| 1700215290 | Educare Community Living Corporation - Texas | Intermediate Care Facility, Mentally Retarded | 12342 Mapletree St, San Antonio, TX 78249-2429 | 2013-11-05 |
| 1316376924 | Educare Community Living Corporation - Texas | Intermediate Care Facility, Mentally Retarded | 14038 Boulder Oaks, San Antonio, TX 78247-3103 | 2013-11-04 |
| 1710316328 | Educare Community Living Corporation - Texas | Intermediate Care Facility, Mentally Retarded | 5119 Stormy Sunset, San Antonio, TX 78247-1721 | 2013-11-04 |
| 1639508245 | Educare Community Living Corporation - Texas | Intermediate Care Facility, Mentally Retarded | 5223 Stormy Sunset, San Antonio, TX 78247-1723 | 2013-11-04 |
| 1902235518 | Educare Community Living Corporation - Texas | Intermediate Care Facility, Mentally Retarded | 17002 Vista Briar Dr, San Antonio, TX 78247-4636 | 2013-11-04 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78216 |
Please comment or provide details below to improve the information on MISSION ROAD DEVELOPMENTAL 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.