PECAN VALLEY MHMR REGION (NPI# 1710105812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710105812 |
| Entity Type | Organization |
| Organization Name | PECAN VALLEY MHMR REGION |
| Other Organization Name | MILL ST. |
| Practice Address |
1212 S Mill St Weatherford TX 76086-5734 |
| Mailing Address |
650 W Green St Stephenville TX 76401-3311 |
| Practice Telephone | 8175980559 |
| Mailing Telephone | 2549657806 |
| Mailing Fax Number | 2549654308 |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | RALPH WHAITE (MIS DIRECTOR) |
| Authorized Official Telephone | 9403973147 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 361001 | TX | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | DADS CONTRACT | 361001 | 01 |
| Other Name | Type Code |
|---|---|
| Mill St. | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013257799 | Pecan Valley Mhmr Region | Counselor | 2101 W. Pearl St., Granbury, TX 76048 | 2013-02-18 |
| 1376763284 | Pecan Valley Mhmr Region | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 271 Diamond Ln N, Burleson, TX 76028-6729 | 2007-04-26 |
| 1467672378 | Pecan Valley Mhmr Region | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 805 Quail Park Ln, Cleburne, TX 76031-7731 | 2007-04-26 |
| 1578781605 | Pecan Valley Mhmr Region | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2901 Fm 2280, Cleburne, TX 76031-7803 | 2007-04-23 |
| 1043438153 | Pecan Valley Mhmr Region | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 202 Nw 23rd St, Mineral Wells, TX 76067-2998 | 2007-04-23 |
| 1073731105 | Pecan Valley Mhmr Region | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1018 Highland Rd, Cleburne, TX 76033-8615 | 2007-04-23 |
| 1508084625 | Pecan Valley Mhmr Region | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 105 Littlebrook Rd, Joshua, TX 76058-4816 | 2007-04-23 |
| 1942428065 | Pecan Valley Mhmr Region | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 908 Brown Crest Rd, Burleson, TX 76028-5136 | 2007-04-23 |
| 1083733364 | Pecan Valley Mhmr Region | Case Management | 650 W Green St, Stephenville, TX 76401-3311 | 2007-03-28 |
| 1225309537 | Pecan Valley Mhmr Region | Clinic/Center | 1601 N Anglin St, Cleburne, TX 76031-1835 | 2012-01-18 |
| Street Address |
1212 S MILL ST |
| City | WEATHERFORD |
| State | TX |
| Zip Code | 76086-5734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104434810 | Beverly Diana Blair | Licensed Vocational Nurse | 870 Columbia Drive, Weatherford, Weatherford, TX 76086 | 2020-07-20 |
| 1275027385 | Star Family Medicine Pllc | Family Medicine | 933 Hilltop Dr Ste 100, Weatherford, TX 76086 | 2018-06-21 |
| 1174011324 | Anuj Yogesh Vyas | Student in an Organized Health Care Education/Training Program | Medical City Weatherford 713 E. Anderson, Weatherford, TX 76086 | 2018-04-24 |
| 1003321068 | Kleven Chiropractic, LLC | Chiropractor | 925 Santa Fe Drive, Suite #111, Weatherford, TX 76086 | 2017-12-12 |
| 1417471467 | Weatherford Health Services, LLC | General Acute Care Hospital | 713 East Anderson Street, Weatherford, TX 76086 | 2017-08-01 |
| 1710401021 | Kyle Evan Meason | Dentist | 2035 Fort Worth Hwy Ste 600, Weatherford, TX 76086 | 2017-07-28 |
| 1457898520 | Apmd LLC | Clinic/Center | 110 W I-20 Frontage Rd, Suite 130, Weatherford, TX 76086 | 2017-01-26 |
| 1861934887 | Laura Neel | Occupational Therapist | 250 Sante Fe Dr, Weatherford, TX 76086 | 2016-11-08 |
| 1588022040 | Heather Goddard | Nurse Practitioner | 920 Sante Fe Drive, Weatherford, TX 76086 | 2016-01-29 |
| 1689049413 | The Dermatology Spot Pllc | Dermatology | 1841 Martin Dr, 200, Weatherford, TX 76086 | 2015-12-04 |
| Find all providers in zip 76086 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750980686 | Mimshack Care Homes LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 12330 Springcrest Dr, Houston, TX 77072-3219 | 2020-10-21 |
| 1679172936 | Re-care Incorporated | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 200 University Blvd Ste 225-374, Round Rock, TX 78665-1001 | 2020-10-19 |
| 1407454176 | Viandsa Care Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17203 Quiet Song Ct, Richmond, TX 77407-2964 | 2020-10-14 |
| 1053919050 | Building Bridges In Healthcare LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2007 Liberty Cove Ct, Richmond, TX 77469-2338 | 2020-10-12 |
| 1497353635 | Helping Hearts Residential Care, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 20319 Bridge Manor Ln, Richmond, TX 77407-6494 | 2020-10-10 |
| 1750989067 | Able Wisdom Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2203 Huntington Dr, Wylie, TX 75098-7164 | 2020-10-09 |
| 1518573609 | Jbk House of Care LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2624 Grand Gulf Rd, Fort Worth, TX 76123-2613 | 2020-09-23 |
| 1700492352 | St Monica Healthcare Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11311 Scottsdale Dr, Meadows Place, TX 77477-1811 | 2020-09-18 |
| 1265047534 | Compassion Structured Living Center LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 13578 San Martin Ln, Houston, TX 77083-5135 | 2020-09-13 |
| 1497369474 | Nexphase Healthcare LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1201 N Watson Rd Ste 205, Arlington, TX 76006-6120 | 2020-09-07 |
| Find all providers with the same taxonomy | ||||
| City | WEATHERFORD |
| Zip Code | 76086 |
Please comment or provide details below to improve the information on PECAN VALLEY MHMR REGION.
| 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.