MISS MARY JEAN WEBB (NPI# 1639421894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639421894 |
| Entity Type | Individual |
| Full Name | MISS MARY JEAN WEBB |
| Practice Address |
3516 Canyon Ridge Ave Fort Worth TX 76103-3010 |
| Practice Telephone | 6822326560 |
| Mailing Telephone | 6822326560 |
| Enumeration Date | 2012-10-11 |
| Last Update Date | 2012-10-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320600000X | TX | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447883293 | Mary Webb | Home Health | 658 Bultman Drive, Suite Q, Sumter, SC 29150-2550 | 2020-02-20 |
| 1285815837 | Mary S Webb | Legal Medicine | 12 Gill St Ste 4650, Woburn, MA 01801 | 2007-11-23 |
| 1730239443 | Mary Creel Webb | Social Worker | 1001 Eleventh Street, Trott Access Center, Niagara Falls, NY 14301 | 2007-01-12 |
| 1407808355 | Mary Theresa Webb | Dietitian, Registered | 211 N State St, Clarks Summit, PA 18411-1087 | 2006-05-17 |
| 1376103366 | Mary Webb | Technician | 5028 Alta Dr, Las Vegas, NV 89107-3927 | 2019-06-20 |
| 1821530130 | Mary Webb | Counselor | 5630 Crowder Blvd Ste 208, New Orleans, LA 70127 | 2016-11-17 |
| 1487026548 | Mary Leah Webb | Nurse Practitioner | 8401 Highway 111, Byrdstown, TN 38549 | 2015-10-28 |
| 1821342460 | Mary Webb | Behavioral Analyst | 18350 Mount Langley St, #105, Fountain Valley, CA 92708-6900 | 2012-11-05 |
| 1447501572 | Mary Claire Webb | Speech-Language Pathologist | 20420 68th Ave W, Lynnwood, WA 98036-7405 | 2012-09-28 |
| 1700132792 | Mary E. Webb | Nurse Practitioner | 1212 E Union St, Vienna, GA 31092-7545 | 2012-07-27 |
| Street Address |
3516 CANYON RIDGE AVE |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76103-3010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487170353 | Wafaa Sabrina Chatila | Specialist/Technologist | 1307 W Mitchell St, Arlington, TX 76103 | 2017-08-22 |
| 1598281107 | Daisy Marie Coleman | Licensed Vocational Nurse | 3500 Canyon Ridge Ave, Fort Worth, TX 76103 | 2017-08-15 |
| 1972054724 | Endurance Home Health Care | Home Health | 3605 West Pioneer Parkway, Suite A5-a6, Pantego, TX 76103 | 2016-10-17 |
| 1295011369 | Marvin Eugene Williams | Dentist | 3913 E. Lancaster, Ft. Worth, TX 76103 | 2011-11-02 |
| 1790095347 | Stephanie Ann Adams | Counselor | 2401 Oakland Blvd., Suite 100, Fort Worth, TX 76103 | 2010-10-18 |
| 1376797407 | South Texas Dental Associates, L.p. | Dentist | 4229 East Lancaster Ave., Fort Worth, TX 76103 | 2008-11-17 |
| 1093998429 | Dallas/fort Worth Urology Consultants | Urology | 4809 Brentwood Stair Road, Fort Worth, TX 76103 | 2007-12-07 |
| 1700073434 | Brentwood Stair Chiropractic | Chiropractor | 4809 Brentwood Stair Rd, Fort Worth, TX 76103 | 2007-09-26 |
| 1750430583 | Henry J Bedford | Nurse Anesthetist, Certified Registered | 1807 A W Park Row, Arlington, TX 76103 | 2007-01-10 |
| 1356705131 | Vgr Vision, Inc | Technician/Technologist | 309 S Oakland Blvd, Fort Worth, TX 76103 | 2016-04-07 |
| Find all providers in zip 76103 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306487426 | Fort Healthcare LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5833 Oakbend Trail, #200, Fort Worth, TX 76132-3900 | 2019-09-30 |
| 1023317187 | Care King LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1129 Fairweather Dr, Fort Worth, TX 76120-3325 | 2011-03-15 |
| 1932346210 | Eddie Ellis Junior Hcs | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 420 Tierney Rd, Fort Worth, TX 76112-6324 | 2009-01-08 |
| 1639316912 | Beverly Diane Ellis | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 420 Tierney Rd, Fort Worth, TX 76112-6324 | 2009-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619581782 | Joyful Psalm | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1354 Ravenwood Ct, Crowley, TX 76036-3472 | 2020-09-04 |
| 1790394161 | Modern Vintage Residential Care, LLC. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4015 Alexis Tate Cir, Missouri City, TX 77459-5039 | 2020-07-30 |
| 1285253856 | 1 Care Premier Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 340 N Sam Houston Pkwy E Ste A247, Houston, TX 77060-3305 | 2020-04-13 |
| 1568093888 | James Micah Howard | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 11911 Lakewood Trl, Tomball, TX 77377-8563 | 2020-01-27 |
| 1518507110 | Gems Residence LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5810 Liverpool St, Aubrey, TX 76227-1909 | 2020-01-10 |
| 1366081812 | Abundant Care Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1100 Maxfield St, Waco, TX 76705-2967 | 2020-01-02 |
| 1144877481 | Boniswa Portia Maduna | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 8000 Cook Rd Apt 1109, Houston, TX 77072-3939 | 2019-08-21 |
| 1871148171 | Kenneth Allen | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 135 E Menefee St, Lufkin, TX 75901-4701 | 2019-08-05 |
| 1124673553 | 1st A & M Healthcare Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 504 Spicewood Dr, Desoto, TX 75115-1485 | 2019-08-02 |
| 1558922823 | Primeway Consulting LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2712 Ferdinand, Grand Prairie, TX 75054-5519 | 2019-06-26 |
| Find all providers with the same taxonomy | ||||
| City | FORT WORTH |
| Zip Code | 76103 |
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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.