SABINE VALLEY REGIONAL MHMR CENTER (NPI# 1467676544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467676544 |
| Entity Type | Organization |
| Organization Name | SABINE VALLEY REGIONAL MHMR CENTER |
| Other Organization Name | SABINE VALLEY CENTER |
| Practice Address |
107 Woodbine Pl Longview TX 75601-2912 |
| Mailing Address |
Po Box 6800 Longview TX 75608-6800 |
| Practice Telephone | 9037582471 |
| Practice Fax Number | 9032340862 |
| Mailing Telephone | 9037582471 |
| Mailing Fax Number | 9032340862 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | STEPHANIE TODD (BILLING SPECIALIST) |
| Authorized Official Telephone | 9032372346 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Sabine Valley Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750505830 | Sabine Valley Regional Mhmr Center | Intermediate Care Facility, Mentally Retarded | 303 Evergreen Dr, Longview, TX 75604-1728 | 2007-04-12 |
| 1285857003 | Sabine Valley Regional Mhmr Center | Intermediate Care Facility, Mentally Retarded | 112 Cherie Ln, Longview, TX 75604-3274 | 2007-04-10 |
| 1912120734 | Sabine Valley Regional Mhmr Center | Intermediate Care Facility, Mentally Retarded | 414 S Center St, Longview, TX 75601-7409 | 2007-04-10 |
| 1114048956 | Sabine Valley Regional Mhmr Center | Intermediate Care Facility, Mentally Retarded | 220 Nimitz St, Longview, TX 75602-5377 | 2007-04-02 |
| 1841311743 | Sabine Valley Regional Mhmr Center | Intermediate Care Facility, Mentally Retarded | 3704 Terilynn Dr, Longview, TX 75604-1027 | 2007-04-02 |
| 1841835022 | Sabine Valley Regional Mhmr Center | Family Medicine | 107 Woodbine Pl, Longview, TX 75601-2912 | 2019-11-12 |
| 1235598806 | Sabine Valley Regional Mhmr Center | Clinic/Center | 701 E Marshall Ave, Suite 310, Longview, TX 75601-5659 | 2016-02-11 |
| 1568788107 | Sabine Valley Regional Mhmr Center | Clinic/Center | 107 Woodbine Pl, Longview, TX 75601-2912 | 2010-04-07 |
| 1992945836 | Sabine Valley Regional Mhmr Center | Home Health | 107 Woodbine Pl, Longview, TX 75601-2912 | 2009-03-05 |
| 1376767459 | Sabine Valley Regional Mhmr Center | Community/Behavioral Health | 107 Woodbine Pl, Longview, TX 75601-2912 | 2007-04-12 |
| Street Address |
107 WOODBINE PL |
| City | LONGVIEW |
| State | TX |
| Zip Code | 75601-2912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467561209 | Renee Lynn Todd | Social Worker | 107 Woodbine Pl, Longview, TX 75601-2912 | 2006-08-29 |
| 1942809678 | Sandra Davis | Counselor | 107 Woodbine Pl, Longview, TX 75601-2912 | 2020-10-23 |
| 1891394854 | Brenda Cleary | Counselor | 107 Woodbine Pl, Longview, TX 75601-2912 | 2020-10-21 |
| 1770182842 | Pamela Kelley | Counselor | 107 Woodbine Pl, Longview, TX 75601-2912 | 2020-10-20 |
| 1114526274 | Patrice L Jernegons | Counselor | 107 Woodbine Pl, Longview, TX 75601-2912 | 2020-10-20 |
| 1235775917 | Kathryn Marie Stolle | Counselor | 107 Woodbine Pl, Longview, TX 75601-2912 | 2019-11-18 |
| 1841835022 | Sabine Valley Regional Mhmr Center | Family Medicine | 107 Woodbine Pl, Longview, TX 75601-2912 | 2019-11-12 |
| 1396303046 | Arturo Morales | Counselor | 107 Woodbine Pl, Longview, TX 75601-2912 | 2019-05-29 |
| 1023554888 | Tammy Watson-smith | Speech-Language Pathologist | 107 Woodbine Pl, Longview, TX 75601-2912 | 2017-01-17 |
| 1407230733 | Angela Thompson | Speech-Language Pathologist | 107 Woodbine Pl, 775, Longview, TX 75601-2912 | 2015-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992351076 | Stebbins Hospice LLC | Hospice Care, Community Based | 600-602 E. Whaley, Longview, TX 75601 | 2019-08-14 |
| 1720437692 | J.l. Miguez, Inc. | Hearing Aid Equipment | 822 N 4th Street, Longview, TX 75601 | 2016-06-10 |
| 1801244090 | Voyage Medical Solutions, LLC | Durable Medical Equipment & Medical Supplies | 111 W Tyler St, Longview, TX 75601 | 2016-05-27 |
| 1134504426 | Siobain Kay Rogers | Nurse Practitioner | 703 E Marshall Ave Ste 4003, Longview, TX 75601 | 2015-07-28 |
| 1669882882 | Snehal Shrivastava | Internal Medicine | 1402 N 4th St Ste 300, Longview, TX 75601 | 2014-04-28 |
| 1679824221 | Jennifer Ruth Williams | Occupational Therapist | 110 E Tyler St, Longview, TX 75601 | 2012-09-23 |
| 1548525603 | Candice Renee Ramos | Social Worker | 950 N Sixth St, Longview, TX 75601 | 2012-07-05 |
| 1497082747 | Jarett S Harkness | Pharmacist | 511 E. Marshall Avenue, Longview, TX 75601 | 2009-11-06 |
| 1407086333 | Udeme Ekpenyong | Pediatrics | 818 N. 4th St., Longview, TX 75601 | 2009-07-27 |
| 1386823359 | Assisted Living Concepts Inc | Assisted Living Facility | 2104 Alpine Road, Longview, TX 75601 | 2007-10-26 |
| Find all providers in zip 75601 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568746659 | A-divine Residential Solutions | Community Based Residential Treatment Facility, Mental Illness | 505 Woodway Ln, Longview, TX 75605-1535 | 2011-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538778410 | Inspired Community Living | Community Based Residential Treatment Facility, Mental Illness | 1108 Millspaugh St, San Angelo, TX 76901-2342 | 2020-07-27 |
| 1265058143 | Bam House | Community Based Residential Treatment Facility, Mental Illness | 9710 Military Pkwy Apt 136, Dallas, TX 75227-4801 | 2020-06-17 |
| 1699394320 | Thaddeus Gibson | Community Based Residential Treatment Facility, Mental Illness | 15638 Western Skies Dr, Houston, TX 77086-1169 | 2020-04-13 |
| 1346875705 | Grace Caring Angels Inc. | Community Based Residential Treatment Facility, Mental Illness | 11515 Chariot Dr, Stafford, TX 77477-1214 | 2020-03-05 |
| 1992340541 | Abegail Human Services | Community Based Residential Treatment Facility, Mental Illness | 230 Hackney Dr, Waxahachie, TX 75165-1202 | 2019-11-07 |
| 1073098075 | Expert Living Services Inc | Community Based Residential Treatment Facility, Mental Illness | 17014 Blue Mist Dr, Sugar Land, TX 77498-1957 | 2018-09-26 |
| 1760961734 | Sharion Lenese White | Community Based Residential Treatment Facility, Mental Illness | 12514 Berry Laurel Lane, Houston, TX 77014 | 2018-08-10 |
| 1356837934 | X'zavier O Payne | Community Based Residential Treatment Facility, Mental Illness | 420 N State Highway 360 Apt 2214, Mansfield, TX 76063-8716 | 2018-07-06 |
| 1972003192 | Ateam & Associates, LLC | Community Based Residential Treatment Facility, Mental Illness | 7 Supiro Dr, Manvel, TX 77578-3378 | 2018-02-14 |
| 1891234134 | Graceland Personal Care Homes, Inc | Community Based Residential Treatment Facility, Mental Illness | 2625 County Road 302, Carthage, TX 75633-4103 | 2017-02-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SABINE VALLEY REGIONAL MHMR 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.