MILTON PETREE (NPI# 1598139743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598139743 |
| Entity Type | Individual |
| Full Name | MILTON PETREE |
| Practice Address |
20800 Huckabee Bnd Pflugerville TX 78660-6526 |
| Practice Telephone | 5129458580 |
| Practice Fax Number | 5127706130 |
| Mailing Telephone | 5129458580 |
| Enumeration Date | 2015-11-25 |
| Last Update Date | 2015-11-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities | ||
| Y | 3104A0630X |
Assisted Living Facility Specialization: Assisted Living, Behavioral Disturbances |
Nursing & Custodial Care Facilities | ||
| N | 311Z00000X | Custodial Care Facility | Nursing & Custodial Care Facilities |
| Street Address |
20800 HUCKABEE BND |
| City | PFLUGERVILLE |
| State | TX |
| Zip Code | 78660-6526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952912438 | Swish Dental Pfluggerville, PC | Dentist | 18817 N Heatherwilde Blvd Bldg 1 Ste 100, Pflugerville, TX 78660 | 2020-08-10 |
| 1982225710 | Carpe Diem Primary Care | Clinic/Center | 201 Heatherwilde Blvd, Suite 300, Pflugerville, TX 78660 | 2020-05-04 |
| 1093357055 | Pflugerville Almc, LLC | Assisted Living Facility | 1020 E. Wells Branch Parkway, Pflugerville, TX 78660 | 2019-10-11 |
| 1275186264 | K Family Dentistry | Clinic/Center | 428 Grand Avenue Parkway, Suite150, Pflugerville, TX 78660 | 2019-07-19 |
| 1356901284 | Mary-ellen Pon | Counselor | 2001 Serentiy Drive, Pflugerville, TX 78660 | 2019-06-13 |
| 1194282087 | Leomie Enette Slaughter | Nurse's Aide | 14233 The Lakes Blvd #938, Pflugerville, TX 78660 | 2019-02-27 |
| 1992272850 | Soh of Texas Samson Liu Pllc | Dentist | 1616 Ftm 685 #103, Pflugerville, TX 78660 | 2018-10-30 |
| 1700360476 | Baylor Health Enterprises, L.p. | Pharmacy | 2600 E. Pflugerville Pkwy, Suite 1.200, Pflugerville, TX 78660 | 2018-09-19 |
| 1487135216 | Erin Rachael Abbott | Licensed Vocational Nurse | 608 Palitine Ln, Pflugerville, TX 78660 | 2018-08-29 |
| 1346729159 | Baylor Scott & White Medical Centers - Capitol Area | General Acute Care Hospital | 2600 E Pflugerville Pkwy, Ste 100, Pflugerville, TX 78660 | 2018-08-13 |
| Find all providers in zip 78660 | ||||
| Taxonomy Code | 3104A0630X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Behavioral Disturbances |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588275473 | Aedel Global Health Services LLC | Assisted Living Facility | 2824 Pino, Grand Prairie, TX 75054-0108 | 2020-08-13 |
| 1316556814 | Yewtree Assisted Living & Memory Care | Assisted Living Facility | 2100 Village Court, Sugar Land, TX 77479 | 2020-07-30 |
| 1487204939 | Steven Ryans | Assisted Living Facility | 12547 Chalmette St, Houston, TX 77015-3335 | 2019-09-17 |
| 1598314619 | Eldorado West Senior Living | Assisted Living Facility | 3051 W Eldorado Pkwy, Little Elm, TX 75068-3537 | 2019-09-11 |
| 1215598800 | Sonnet Sherice Smith | Assisted Living Facility | 4926 Teton St, Houston, TX 77033-3531 | 2019-06-25 |
| 1700343902 | Tutu Family Services | Assisted Living Facility | 6508 Jensen Dr, Houston, TX 77026-1123 | 2019-02-23 |
| 1740756865 | Olufemi Olajide Aridegbe | Assisted Living Facility | 4509 Marlboro Dr, Abilene, TX 79606-5472 | 2018-10-16 |
| 1316412620 | Olajumoke Olayinka Aridegbe I | Assisted Living Facility | 2016 S Clack St Apt 245, Abilene, TX 79606-1449 | 2018-10-12 |
| 1447732896 | Alexis Etienne Ingleton | Assisted Living Facility | 15840 Badger Creek Lm, Fort Worth, TX 76177 | 2018-09-02 |
| 1447740170 | Comfort Care Services Inc. | Assisted Living Facility | 15006 Brookwood Bridge Lane, Sugar Land, TX 77498 | 2018-05-17 |
| Find all providers with the same taxonomy | ||||
| City | PFLUGERVILLE |
| Zip Code | 78660 |
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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.