GREGORY BALOGUN (NPI# 1386701324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386701324 |
| Entity Type | Organization |
| Organization Name | GREGORY BALOGUN |
| Other Organization Name | GENESIS MENTAL HEALTH SERVICES |
| Practice Address |
10118 Bent Tree Dr Rowlett TX 75089-8392 |
| Practice Telephone | 2143924454 |
| Mailing Telephone | 2143924454 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. GREGORY BALOGUN (ADM) |
| Authorized Official Telephone | 2143924454 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| Other Name | Type Code |
|---|---|
| Genesis Mental Health Services | Doing Business As Name - Organization |
| Street Address |
10118 BENT TREE DR |
| City | ROWLETT |
| State | TX |
| Zip Code | 75089-8392 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962022434 | Rowlett Tiny Teeth, Pllc | Dentist | 5404 Kenwood Drive, Rowlett, TX 75089 | 2020-04-24 |
| 1194292219 | Jacqueline G. Abraham | Physician Assistant | 9517 Fairway Vista Dr, Rowlett, TX 75089 | 2018-10-26 |
| 1487121810 | Eglorious, Inc. | Registered Nurse | 7314 Westhaven Dr., Rowlett, TX 75089 | 2018-10-24 |
| 1164901252 | Amber Saenz | Physical Therapist | 6706 Bluebell Dr, Rowlett, TX 75089 | 2018-08-09 |
| 1538544937 | Dallas Specialty Pharmacy,llc | Pharmacy | 5501 Gordon Smith, Suite 170, Rowlett, TX 75089 | 2015-07-27 |
| 1568782274 | Alix H. Sanders Jr. | Dentist | 7100 Rowlett Rd., Rowlett, TX 75089 | 2010-06-03 |
| 1174661318 | Anita Gaye Henrichson | Counselor | 9709 Peachtree Lane, Rowlett, TX 75089 | 2007-02-01 |
| 1689685133 | Mark Wayne Boren | Dentist | 7100 Rowlett Rd, Rowlett, TX 75089 | 2006-08-10 |
| 1750696803 | Care With Honor LLC | Community/Behavioral Health | 6114 San Marino Ct, Rowlett, TX 75089-0756 | 2010-08-13 |
| 1740423193 | A Time To Heal Health Care Services LLC | Home Health | 2713 Planetree Dr, Rowlett, TX 75089-1615 | 2009-04-15 |
| Find all providers in zip 75089 | ||||
| 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 |
|---|---|---|---|---|
| 1124217500 | Comprehensive Therapy Services | Day Training, Developmentally Disabled Services | 4702 Rowlett Rd, Rowlett, TX 75088-1703 | 2007-10-22 |
| 1982805552 | A&m Health Care Services, Inc. | Day Training, Developmentally Disabled Services | 2010 Walnut Hill Dr, Rowlett, TX 75088-1557 | 2007-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790384121 | Texas Agapecare, LLC | Day Training, Developmentally Disabled Services | 2211 N Lamar St Ste 225, Dallas, TX 75202-1005 | 2020-10-17 |
| 1467067538 | Jacorea Breon Taylor | Day Training, Developmentally Disabled Services | 1727 Park Oak Dr, Conroe, TX 77304-1777 | 2020-09-15 |
| 1184247926 | Two Hands Pllc | Day Training, Developmentally Disabled Services | 3945 Braxton Dr Ste 1, Houston, TX 77063 | 2020-05-27 |
| 1073152823 | Together We Care | Day Training, Developmentally Disabled Services | 507c S Lake Dallas Dr, Lake Dallas, TX 75065-2778 | 2019-12-26 |
| 1679118863 | Eric L Middleton | Day Training, Developmentally Disabled Services | 1701 Lennox Ave, Killeen, TX 76549-2147 | 2019-11-12 |
| 1538702576 | Karehab LLC | Day Training, Developmentally Disabled Services | 1034 1st St E, Humble, TX 77338-4778 | 2019-10-22 |
| 1609418110 | Damswill Care Services, LLC | Day Training, Developmentally Disabled Services | 103 Carlie Way, Stafford, TX 77477-5239 | 2019-10-16 |
| 1427690692 | Treasured Hearts Life Skills Activity Center | Day Training, Developmentally Disabled Services | 914 N Dallas Ave, Lancaster, TX 75146-1616 | 2019-10-09 |
| 1093366882 | Pamela Ann Knebel | Day Training, Developmentally Disabled Services | 2106 Huisache St, Brenham, TX 77833-5818 | 2019-09-24 |
| 1871143800 | Sonya Lorraine Townsend | Day Training, Developmentally Disabled Services | 12814 Hawthorne Shores Dr, Houston, TX 77044-1255 | 2019-09-11 |
| 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.