MISSION ROAD DEVELOPMENTAL CENTER


Address: 7618 Mockingbird Ln, San Antonio, TX 78229-2624
Phone: 2103498125

MISSION ROAD DEVELOPMENTAL CENTER (NPI# 1346327756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346327756
Entity Type Organization
Organization Name MISSION ROAD DEVELOPMENTAL CENTER
Practice Address 7618 Mockingbird Ln
San Antonio
TX 78229-2624
Mailing Address 8706 Mission Rd
San Antonio
TX 78214-3140
Practice Telephone 2103498125
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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 315P00000X Intermediate Care Facility, Mentally Retarded 104897 TX Nursing & Custodial Care Facilities

Other Provider IDs and Locations

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
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

Office Location

Street Address 7618 MOCKINGBIRD LN
City SAN ANTONIO
State TX
Zip Code 78229-2624

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245857226 Lyndsey A Sandoval Optometrist 7400 Minton Miner St, San Antonio, TX 78229 2020-06-25
1295355311 Nicolet Finger Student in an Organized Health Care Education/Training Program 7703 Floyd Curl Drive, Mc 7798, San Antonio, TX 78229 2020-04-18
1215557400 Amy Elizabeth Werry Clinical Neuropsychologist 7703 Floyd Circle Drive, San Antonio, TX 78229 2020-04-17
1740822972 Mohammad Safaie Yazdi Student in an Organized Health Care Education/Training Program Ut Health Science Center At San Antonio- Agdc, 8210 Floyd Curl Dr., Msc 8103, San Antonio, TX 78229 2019-10-09
1063053072 Blas Edward Villa Nurse Practitioner 7703 Floyd Curl Drive Mc 7885 Pulmonary Diseases & Crit, Medicine, San Antonio, TX 78229 2019-10-01
1124673942 Integrity Dme Services LLC Durable Medical Equipment & Medical Supplies 6323 Sovereign Dr, Suite # 170 Ab, San Antonio, TX 78229 2019-08-08
1730734120 Marisa Erin Leyden Speech-Language Pathologist Joe R. & Teresa Lozano Long Campus, 7703 Floyd Curl Dr., San Antonio, TX 78229 2019-08-03
1285295741 Alireza Ghezavati Student in an Organized Health Care Education/Training Program 7703 Floyd Curl Drive Mc 7750, Department of Pathology and Laboratory Medicine, San Antonio, TX 78229 2019-06-25
1407410285 Denae Cheyenne Rushing Student in an Organized Health Care Education/Training Program 8201 Floyd Curl Drive, San Antonio, TX 78229 2019-04-26
1265993570 Shehzad Amlani Student in an Organized Health Care Education/Training Program Address: 7703 Floyd Curl Dr, San Antonio, TX 78229 2019-03-28
Find all providers in zip 78229

Taxonomy Information

Taxonomy Code 315P00000X
Grouping Nursing & Custodial Care Facilities
Classification Intermediate Care Facility, Mentally Retarded

Taxonomy Definition

(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).

Providers in the same taxonomy and city

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

Competitor

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City SAN ANTONIO
Zip Code 78229

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Dataset Information

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.

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