MISSION ROAD DEVELOPMENTAL CENTER (NPI# 1356411946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356411946 |
| Entity Type | Organization |
| Organization Name | MISSION ROAD DEVELOPMENTAL CENTER |
| Practice Address |
8706 Mission Rd San Antonio TX 78214-3140 |
| Practice Telephone | 2109249265 |
| Enumeration Date | 2006-11-09 |
| 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 | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | TX | Residential Treatment 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952879058 | Tosin Oduwusi | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6755 Wayman Rdg, San Antonio, TX 78233-5471 | 2018-11-06 |
| 1851796841 | Family Over Everything Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 11866 Luckey Vista, San Antonio, TX 78252 | 2014-11-03 |
| 1629406764 | Alamo Community Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5702 Sage Holw, San Antonio, TX 78249-3150 | 2013-10-29 |
| 1407149545 | Mallku, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 28 Mondavi, San Antonio, TX 78258-4670 | 2011-05-23 |
| 1215125018 | Shared Vision Residential Care Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1339 W Chavaneaux Rd, San Antonio, TX 78224-2607 | 2007-10-06 |
| 1487864534 | Habilitative Homes Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 9019 Old Sky Hbr, San Antonio, TX 78242-3225 | 2007-05-23 |
| 1609099142 | Calab, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6470 Heath Rd, San Antonio, TX 78250-4621 | 2007-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619581782 | Joyful Psalm | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1354 Ravenwood Ct, Crowley, TX 76036-3472 | 2020-09-04 |
| 1790394161 | Modern Vintage Residential Care, LLC. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4015 Alexis Tate Cir, Missouri City, TX 77459-5039 | 2020-07-30 |
| 1285253856 | 1 Care Premier Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 340 N Sam Houston Pkwy E Ste A247, Houston, TX 77060-3305 | 2020-04-13 |
| 1568093888 | James Micah Howard | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 11911 Lakewood Trl, Tomball, TX 77377-8563 | 2020-01-27 |
| 1518507110 | Gems Residence LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5810 Liverpool St, Aubrey, TX 76227-1909 | 2020-01-10 |
| 1366081812 | Abundant Care Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1100 Maxfield St, Waco, TX 76705-2967 | 2020-01-02 |
| 1306487426 | Fort Healthcare LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5833 Oakbend Trail, #200, Fort Worth, TX 76132-3900 | 2019-09-30 |
| 1144877481 | Boniswa Portia Maduna | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 8000 Cook Rd Apt 1109, Houston, TX 77072-3939 | 2019-08-21 |
| 1871148171 | Kenneth Allen | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 135 E Menefee St, Lufkin, TX 75901-4701 | 2019-08-05 |
| 1124673553 | 1st A & M Healthcare Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 504 Spicewood Dr, Desoto, TX 75115-1485 | 2019-08-02 |
| Find all providers with the same taxonomy | ||||
| City | SAN ANTONIO |
| Zip Code | 78214 |
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.