GREGORY ALAN ELLIS DBA GATEWAYS OF TEXAS (NPI# 1326241688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326241688 |
Entity Type | Organization |
Organization Name | GREGORY ALAN ELLIS DBA GATEWAYS OF TEXAS |
Practice Address |
6737 Brentwood Stair Rd Ste 124 Fort Worth TX 76112-3336 |
Practice Telephone | 8174297698 |
Practice Fax Number | 8174291281 |
Mailing Telephone | 8174297698 |
Mailing Fax Number | 8174291281 |
Enumeration Date | 2007-06-06 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. GREGORY ALAN ELLIS (OWNER) |
Authorized Official Telephone | 8174297698 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
X | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
Street Address |
6737 BRENTWOOD STAIR RD STE 124 |
City | FORT WORTH |
State | TX |
Zip Code | 76112-3336 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396211397 | Shelia Minor | Home Health Aide | 5648 Victoria Place, Fort Worth, TX 76112 | 2018-10-17 |
1457833816 | Joanne Medford | Physical Therapy Assistant | 1704 Wilson Rd, Fort Worth, TX 76112 | 2018-09-02 |
1821525502 | Kids & Hugs Home Therapy | Home Health | 2317 Maryel Dr., Fort Worth, TX 76112 | 2017-05-12 |
1932516846 | Neuroassessment Services LLC | Clinical Neuropsychologist | 5601 Bridge Street, Suite 500, Ft. Worth, TX 76112 | 2014-07-14 |
1114346335 | Blessed Beginnings | Day Training, Developmentally Disabled Services | 2320 Blue Smoke Court North, Fort Worth, TX 76112 | 2014-04-15 |
1790035517 | Transitions for Success Inc | In Home Supportive Care | 6228 Warrington Pl Ace, Fort Worth, TX 76112 | 2012-09-19 |
1194048116 | Jerlene Bonner Tippett | Home Health Aide | 1701 Bunch Dr, Ft Worth, TX 76112 | 2010-03-04 |
1396076543 | Roy Kenji Yamada | Emergency Medicine | 5800 Forest Bend Pl., Ft. Worth, TX 76112 | 2010-01-27 |
1437488228 | Rose A Miller | Case Manager/Care Coordinator | 7312 Laurie Drive, Ft. Worth, TX 76112 | 2009-12-08 |
1174760508 | Advocate Angels | Case Management | 6829 Gary Lane, Fort Worth, TX 76112 | 2009-01-07 |
Find all providers in zip 76112 |
Taxonomy Code | 251C00000X |
Grouping | Agencies |
Classification | Day Training, Developmentally Disabled Services |
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730679176 | Impatex | Day Training, Developmentally Disabled Services | 6300 Eagle Lake Ct, Fort Worth, TX 76179-1645 | 2018-05-11 |
1235681842 | Ap Disability Services LLC | Day Training, Developmentally Disabled Services | 4208 Sweetgum Way, Fort Worth, TX 76133-7556 | 2016-10-30 |
1962895839 | Mabel Thomas | Day Training, Developmentally Disabled Services | 5401 Woodway Dr, Fort Worth, TX 76133-2035 | 2015-03-16 |
1538575162 | Lakeisha Braziel - Davis LLC | Day Training, Developmentally Disabled Services | 2601 Pecos St, Fort Worth, TX 76119-5609 | 2014-07-03 |
1114346335 | Blessed Beginnings | Day Training, Developmentally Disabled Services | 2320 Blue Smoke Court North, Fort Worth, TX 76112 | 2014-04-15 |
1285992933 | Donna Denise Rangel | Day Training, Developmentally Disabled Services | 15435 White Settlement Rd, Fort Worth, TX 76108-9283 | 2012-05-01 |
1134485576 | Precision Healthcare Services | Day Training, Developmentally Disabled Services | 4470 Sweetgum Way, Fort Worth, TX 76133-7416 | 2012-04-10 |
1144504358 | Empower Me, Inc. | Day Training, Developmentally Disabled Services | 3116 E Rosedale St, Fort Worth, TX 76105-2300 | 2011-10-06 |
1598053282 | Mabel's Unique Care | Day Training, Developmentally Disabled Services | 6833 Dan Danciger Rd, Fort Worth, TX 76133-4903 | 2011-07-14 |
1063731685 | Twg Investments, Ltd | Day Training, Developmentally Disabled Services | 8808 Camp Bowie W Ste 140, Fort Worth, TX 76116-6000 | 2010-05-21 |
Find all providers in FORT WORTH |
City | FORT WORTH |
Zip Code | 76112 |
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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.