RIVERWALK RANCH, LLC (NPI# 1740771195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740771195 |
Entity Type | Organization |
Organization Name | RIVERWALK RANCH, LLC |
Practice Address |
6960 Dick Price Road Mansfield TX 76063 |
Practice Telephone | 8177209520 |
Mailing Telephone | 8504914993 |
Enumeration Date | 2018-05-22 |
Last Update Date | 2018-10-11 |
Authorized Official Name | JONATHAN R JANEIRO (PRESIDENT) |
Authorized Official Telephone | 8177209525 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
Street Address |
6960 DICK PRICE ROAD |
City | MANSFIELD |
State | TX |
Zip Code | 76063 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114547411 | Benito Lugo | Counselor | 6960 Dick Price Road, Mansfield, TX 76063 | 2020-04-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316558349 | Lindsey Vandyke, D.o. Pllc | Internal Medicine | 3150 E Broad Street, Ste 100, Mansfield, TX 76063 | 2020-08-13 |
1942819867 | Jennifer Que Chau Nguyen | Pharmacist | 980 U.S. 287 Frontage Rd #287, Mansfield, TX 76063 | 2020-07-27 |
1194346890 | Ana Maria Gonzalez | Dentist | 1600 Us Highway 287, Suite 102, Mansfield, TX 76063 | 2020-05-04 |
1245869080 | Stateserv Medical of Texas, LLC | Durable Medical Equipment & Medical Supplies | 7941 Rodeo Trail, Mansfield, TX 76063 | 2020-04-03 |
1649802232 | Mary Puanani Kamai | Nurse Practitioner | 1301 E. Debbie Lane, Suite 102 #1405, Mansfield, TX 76063 | 2020-02-11 |
1770123028 | Gladys Vera Nfodzo | Nurse Practitioner | 901 W. Broad St, Mansfield, TX 76063 | 2020-01-14 |
1669011300 | Alexa Smith | Nurse Practitioner | 2800 E Broad St #304, Mansfield, TX 76063 | 2019-12-28 |
1477190437 | Mel Rockwall LLC | Optometrist | 1701 East Broad Street, Ste 109, Mansfield, TX 76063 | 2019-12-09 |
1376185512 | Daniel Max & Marcandrea LLC | Optometrist | 1701 East Broad St., Ste 109, Mansfield, TX 76063 | 2019-10-09 |
1861046385 | Lacey Eaton | Counselor | 805 Killian Dr, Mansfield, TX 76063 | 2019-08-01 |
Find all providers in zip 76063 |
Taxonomy Code | 324500000X |
Grouping | Residential Treatment Facilities |
Classification | Substance Abuse Rehabilitation Facility |
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
Notes: [7/1/2003: modified title, modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396365870 | Texas Health Recovery and Wellness Center | Substance Abuse Rehabilitation Facility | 240 N Miller Rd, Mansfield, TX 76063-5842 | 2020-04-24 |
1902340268 | Texas Health Recovery and Wellness Center | Substance Abuse Rehabilitation Facility | 240 North Miller Rd, Mansfield, TX 76063 | 2016-12-06 |
1205456787 | Texas Health Recovery and Wellness Center | Substance Abuse Rehabilitation Facility | 240 N Miller Rd, Mansfield, TX 76063-5842 | 2020-04-24 |
1568722171 | The Center for Individual & Family Services, Inc. | Substance Abuse Rehabilitation Facility | 741 Scholl Rd, Mansfield, OH 44907-1571 | 2012-05-17 |
1104851799 | New Beginnings Recovery | Substance Abuse Rehabilitation Facility | 270 Sterkel Blvd, Suite 81, Mansfield, OH 44907-1508 | 2006-07-11 |
NPI | Name | Taxonomy | Address | Enumeration |
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1801496302 | Sunrise Rehab and Recovery, LLC | Substance Abuse Rehabilitation Facility | 1106 N Interstate 35, San Marcos, TX 78666-7030 | 2020-10-26 |
1124627443 | Resurgence Texas | Substance Abuse Rehabilitation Facility | 10703 Ranch Road 12, Wimberley, TX 78676-5239 | 2020-10-19 |
1053918151 | The Salvation Army, A Georgia Corp. - Mabee Center | Substance Abuse Rehabilitation Facility | 1855 E. Lancaster Ave., Fort Worth, TX 76103-2123 | 2020-10-02 |
1174139364 | Voice To Discovery Community | Substance Abuse Rehabilitation Facility | 7811 Hornwood Dr, Houston, TX 77036-4115 | 2020-09-22 |
1093329484 | Alara Health | Substance Abuse Rehabilitation Facility | 4731 County Road 172, Alvin, TX 77511-0325 | 2020-09-02 |
1659982437 | Oliver-west Health and Wellness Center | Substance Abuse Rehabilitation Facility | 9009 Boone Rd Ste A, Houston, TX 77099-2033 | 2020-08-13 |
1730798893 | Starlite Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 2210 Bandera Hwy Ste C-1, Kerrville, TX 78028-6609 | 2020-07-24 |
1043837644 | Alaine Detox Center LLC | Substance Abuse Rehabilitation Facility | 3505 Sage Rd Unit 2504, Houston, TX 77056-7183 | 2020-06-30 |
1821614181 | Lighthouse Recovery Centers, LLC | Substance Abuse Rehabilitation Facility | 5344 Alpha Rd, Dallas, TX 75240-3428 | 2020-06-23 |
1306460266 | Revive F W | Substance Abuse Rehabilitation Facility | 10907 Martindale Rd, Houston, TX 77048-2011 | 2020-06-05 |
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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.