PECAN VALLEY MHMR REGION


Address: 271 Diamond Ln N, Burleson, TX 76028-6729
Phone: 8172953056

PECAN VALLEY MHMR REGION (NPI# 1376763284) 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) 1376763284
Entity Type Organization
Organization Name PECAN VALLEY MHMR REGION
Other Organization Name EMERALD POINT
Practice Address 271 Diamond Ln N
Burleson
TX 76028-6729
Mailing Address 650 W Green St
Stephenville
TX 76401-3311
Practice Telephone 8172953056
Mailing Telephone 2549657806
Enumeration Date 2007-04-26
Last Update Date 2020-08-22
Authorized Official Name RALPH WHAITE (MIS DIRECTOR)
Authorized Official Telephone 9403973147
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1014222 TX Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
DADS CONTRACT 1014222 01

Other Provider/Organization Names

Other Name Type Code
Emerald Point Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1013257799 Pecan Valley Mhmr Region Counselor 2101 W. Pearl St., Granbury, TX 76048 2013-02-18
1467672378 Pecan Valley Mhmr Region Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 805 Quail Park Ln, Cleburne, TX 76031-7731 2007-04-26
1578781605 Pecan Valley Mhmr Region Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2901 Fm 2280, Cleburne, TX 76031-7803 2007-04-23
1710105812 Pecan Valley Mhmr Region Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1212 S Mill St, Weatherford, TX 76086-5734 2007-04-23
1043438153 Pecan Valley Mhmr Region Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 202 Nw 23rd St, Mineral Wells, TX 76067-2998 2007-04-23
1073731105 Pecan Valley Mhmr Region Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1018 Highland Rd, Cleburne, TX 76033-8615 2007-04-23
1508084625 Pecan Valley Mhmr Region Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 105 Littlebrook Rd, Joshua, TX 76058-4816 2007-04-23
1942428065 Pecan Valley Mhmr Region Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 908 Brown Crest Rd, Burleson, TX 76028-5136 2007-04-23
1083733364 Pecan Valley Mhmr Region Case Management 650 W Green St, Stephenville, TX 76401-3311 2007-03-28
1225309537 Pecan Valley Mhmr Region Clinic/Center 1601 N Anglin St, Cleburne, TX 76031-1835 2012-01-18

Office Location

Street Address 271 DIAMOND LN N
City BURLESON
State TX
Zip Code 76028-6729

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679104657 Ballard Family Dentistry In Burleson Dentist 2701 Sw Wilshire Blvd, Burleson, TX 76028 2020-01-29
1013567205 Amy Burden Family Medicine 240 E Renfro St Ste 203, Burleson, TX 76028 2019-09-19
1962985903 Bobbie Jo Deweese Registered Nurse 279 W Hidden Creek Pkwy Ste 1209, Burleson, TX 76028 2018-09-14
1154803096 Martha Jepchirchir Registered Nurse 1084 Meadow Scape Dr, Burleson, TX 76028 2018-09-06
1407334022 Catherine Cornelia Wilson Registered Nurse 12500 South Fwy Ste 100, Burleson, TX 76028 2018-08-06
1174001911 Amanda Kaye Contino Registered Nurse 120 Ne Wilshire Blvd, Burleson, TX 76028 2018-08-03
1275019671 Lacey Paulett Anderson Speech-Language Pathologist 1101 Whispering Spring Ct, Burleson, TX 76028 2018-07-18
1720572647 Keith Anderson Orthodontics Pllc Dentist 310 Nw John Jones Dr, Suite 108, Burleson, TX 76028 2018-06-15
1033602537 Justin Randal Sanders Nurse Practitioner 924 County Road 914, Burleson, TX 76028 2018-06-08
1861992695 Taylor Henry Family Medicine 739 Tanglewood Drive, Burleson, TX 76028 2018-02-19
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Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942428065 Pecan Valley Mhmr Region Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 908 Brown Crest Rd, Burleson, TX 76028-5136 2007-04-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1750980686 Mimshack Care Homes LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 12330 Springcrest Dr, Houston, TX 77072-3219 2020-10-21
1679172936 Re-care Incorporated Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 200 University Blvd Ste 225-374, Round Rock, TX 78665-1001 2020-10-19
1407454176 Viandsa Care Home LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 17203 Quiet Song Ct, Richmond, TX 77407-2964 2020-10-14
1053919050 Building Bridges In Healthcare LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2007 Liberty Cove Ct, Richmond, TX 77469-2338 2020-10-12
1497353635 Helping Hearts Residential Care, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 20319 Bridge Manor Ln, Richmond, TX 77407-6494 2020-10-10
1750989067 Able Wisdom Services Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2203 Huntington Dr, Wylie, TX 75098-7164 2020-10-09
1518573609 Jbk House of Care LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2624 Grand Gulf Rd, Fort Worth, TX 76123-2613 2020-09-23
1700492352 St Monica Healthcare Services Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 11311 Scottsdale Dr, Meadows Place, TX 77477-1811 2020-09-18
1265047534 Compassion Structured Living Center LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 13578 San Martin Ln, Houston, TX 77083-5135 2020-09-13
1497369474 Nexphase Healthcare LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1201 N Watson Rd Ste 205, Arlington, TX 76006-6120 2020-09-07
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Competitor

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City BURLESON
Zip Code 76028

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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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