ALVIE THERAL STEGALL (NPI# 1457853970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457853970 |
Entity Type | Individual |
Full Name | ALVIE THERAL STEGALL |
Practice Address |
8745 San Joaquin Trl Fort Worth TX 76118-7836 |
Mailing Address |
1300 Storm Dr Bedford TX 76022-6748 |
Practice Telephone | 8173191938 |
Mailing Telephone | 8173191938 |
Enumeration Date | 2018-02-28 |
Last Update Date | 2018-02-28 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 385HR2065X |
Respite Care Specialization: Respite Care, Physical Disabilities, Child |
Respite Care Facility |
Street Address |
8745 SAN JOAQUIN TRL |
City | FORT WORTH |
State | TX |
Zip Code | 76118-7836 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366944886 | Diane Stegall | Respite Care | 8745 San Joaquin Trl, Fort Worth, TX 76118-7836 | 2018-02-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619475936 | Ellen Dixon | Specialist/Technologist | 9502 Garden Wood Drive Apt 421, Fort Worth, TX 76118 | 2018-02-01 |
1588016067 | Bartholomew Henderson | Registered Nurse | 3604 Scranton Dr, Richland Hills, TX 76118 | 2016-07-07 |
1447548391 | Brent Cooper Orr | Technician, Other | 7415 Whitehall Street Suite 118, Ft Worth, TX 76118 | 2011-07-13 |
1972804300 | National Hme | Durable Medical Equipment & Medical Supplies | 7451 Airport Freeway, Richland Hills, TX 76118 | 2010-11-17 |
1053572628 | C3 Christian Academy LLC | Respite Care | 6609 Baker Blvd, Richland Hills, TX 76118 | 2008-06-17 |
1922282946 | C3 Academy, LLC | Custodial Care Facility | 6609 Baker Blvd., Richland Hills, TX 76118 | 2007-12-27 |
1770787202 | George L Ruffin | Counselor | 6900 Boulevard 26, Richland Hills, TX 76118 | 2007-06-11 |
1649322629 | Bestcare Home Health,inc | Home Health | 7215-a Baker Blvd., Richland Hills, TX 76118 | 2007-01-18 |
1972692838 | Clearview Medical Incorporated | Durable Medical Equipment & Medical Supplies | 2503 Gravel Dr, Fort Worth, TX 76118 | 2006-10-11 |
1790753689 | Breath of Life, Inc. | Durable Medical Equipment & Medical Supplies | 2612 Gravel Dr, Bldg 7, Fort Worth, TX 76118 | 2006-03-08 |
Find all providers in zip 76118 |
Taxonomy Code | 385HR2065X |
Grouping | Respite Care Facility |
Classification | Respite Care |
Specialization | Respite Care, Physical Disabilities, Child |
A facility or distinct part of a facility that providers short term, residential care to children, diagnosed with complex or profound disabilities as respite for the regular caregivers. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366944886 | Diane Stegall | Respite Care | 8745 San Joaquin Trl, Fort Worth, TX 76118-7836 | 2018-02-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821563313 | Shelter Community Services Inc | Respite Care | 9831 Vickie Ln, Frisco, TX 75035-2501 | 2018-10-10 |
1922543289 | Joy Arlene Joseph Caldwell | Respite Care | 5432 Manuel Gameros Dr, El Paso, TX 79934-3190 | 2016-12-22 |
1629433685 | Michelle Denise Champion | Respite Care | 41206 N Mill Dr, Magnolia, TX 77354-1874 | 2015-12-17 |
1487907101 | C-a-r-e | Respite Care | 120 Halls Rd, Angleton, TX 77515-8450 | 2012-10-18 |
1710123815 | Bright Star Services, Inc. | Respite Care | 4706 Galway Dr, 4706 Galway Dr, Corpus Christi, TX 78413-3511 | 2008-12-20 |
1043392731 | Charlotte Elizabeth Rosetta | Respite Care | 2109 Barnes Bridge Rd, Dallas, TX 75228-2154 | 2006-10-20 |
1487915922 | Heavenly Hands Children's Medical Daycare Center | Respite Care | 8002 West Ave, Ste 1, Castle Hills, TX 78213-1865 | 2012-05-31 |
1851682652 | Breakthrough International Ministries Church Bimc Inc | Respite Care | 8449 W Bellfort St, Suite 328, Houston, TX 77071-2245 | 2011-04-27 |
1144528845 | Divine Gifts Care Services LLC | Respite Care | 303 Remington Green Ct, Houston, TX 77073-4392 | 2011-03-03 |
City | FORT WORTH |
Zip Code | 76118 |
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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.