SABINE VALLEY REGIONAL MHMR CENTER (NPI# 1639232002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639232002 |
| Entity Type | Organization |
| Organization Name | SABINE VALLEY REGIONAL MHMR CENTER |
| Other Organization Name | COMMUNITY HEALTHCORE |
| Practice Address |
107 Woodbine Pl Longview TX 75601-2912 |
| Mailing Address |
Po Box 6800 Longview TX 75608-6800 |
| Practice Telephone | 9037582471 |
| Practice Fax Number | 9032341639 |
| Mailing Telephone | 9037582471 |
| Mailing Fax Number | 9032341639 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2015-03-04 |
| Authorized Official Name | SHANEQUE HOPKINS (THIRD PARTY BILLING MANAGER) |
| Authorized Official Telephone | 9032372359 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 137921602 | 05 | |
| TX | 137921601 | 05 | |
| TX | 137921606 | 05 | |
| TX | SUPERIOR HEALTH PLAN CHIP | 129201 | 01 |
| TX | 137921608 | 05 | |
| TX | BLUE CROSS BLUE SHIELD | 00BM15 | 01 |
| TX | 137921607 | 05 | |
| TX | RAILROAD MEDICARE | CB6459 | 01 |
| Other Name | Type Code |
|---|---|
| Community Healthcore | 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 |
| 1467676544 | Sabine Valley Regional Mhmr Center | Community Based Residential Treatment Facility, Mental Illness | 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 | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235649807 | Teena Jones,licsw, Pllc | Clinic/Center | 880 11th Ave Ste 109, Longview, WA 98632-2402 | 2017-10-09 |
| 1639693781 | Core Health | Clinic/Center | 748 14th Ave, Longview, WA 98632-2315 | 2017-07-31 |
| 1235598806 | Sabine Valley Regional Mhmr Center | Clinic/Center | 701 E Marshall Ave, Suite 310, Longview, TX 75601-5659 | 2016-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982202461 | Browsnville Psychological Center, Pllc | Clinic/Center | 302 Lorenaly Dr Ste E, Brownsville, TX 78526-4332 | 2020-10-15 |
| 1891393542 | Inner Essence Therapy, Consulting and Diagnostic Pllc | Clinic/Center | 24414 Creekview Dr, Spring, TX 77389-3711 | 2020-10-14 |
| 1336746973 | Peace, Hope & Harmony, Inc. | Clinic/Center | 661 E Main St Ste 200-174, Midlothian, TX 76065-3340 | 2020-10-06 |
| 1720695331 | Perspectives Psychotherapies, Pllc | Clinic/Center | 8330 Meadow Rd Ste 200, Dallas, TX 75231-0314 | 2020-09-28 |
| 1154935476 | A Work of Heart Therapy, Pllc | Clinic/Center | 10650 Culebra Rd # 104-174, San Antonio, TX 78251-4949 | 2020-09-03 |
| 1144833625 | Mind Above Matter LLC | Clinic/Center | 5900 Hereford Dr, Fort Worth, TX 76179-3395 | 2020-08-25 |
| 1407469067 | Daybreak Wellness, Pllc | Clinic/Center | 1666 N Hampton Rd Ste 103, Desoto, TX 75115-2390 | 2020-08-24 |
| 1487263000 | Stay Young Mental Health & Wellness | Clinic/Center | 8209 Roughrider Dr Ste 210, Windcrest, TX 78239-2457 | 2020-07-29 |
| 1285242305 | Abide Counseling Pllc | Clinic/Center | 505 Church Ave Ste B, College Station, TX 77840-1336 | 2020-07-14 |
| 1275151912 | Inger Daniels Aprn | Clinic/Center | 1937 Texas Pkwy Ste A, Missouri City, TX 77489-3121 | 2020-07-09 |
| 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.