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).
| 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 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DADS CONTRACT | 1014222 | 01 |
| Other Name | Type Code |
|---|---|
| Emerald Point | Other Name - Individual/Organization |
| 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 |
| Street Address |
271 DIAMOND LN N |
| City | BURLESON |
| State | TX |
| Zip Code | 76028-6729 |
| 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 |
| Find all providers in zip 76028 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| 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] |
| 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 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.