ROYAL HAVEN MEDICAL (NPI# 1740895911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740895911 |
Entity Type | Organization |
Organization Name | ROYAL HAVEN MEDICAL |
Practice Address |
713 Lakeview Dr Alvarado TX 76009-2668 |
Practice Telephone | 9038334534 |
Mailing Telephone | 9038334534 |
Enumeration Date | 2020-09-14 |
Last Update Date | 2020-09-14 |
Authorized Official Name | PAIDAMOYO WAGONEKA (OWNER) |
Authorized Official Telephone | 9038334534 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers | ||
Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
Street Address |
713 LAKEVIEW DR |
City | ALVARADO |
State | TX |
Zip Code | 76009-2668 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598277378 | James Eliezer Dechavez | Nurse Practitioner | 515 E Highway 67, Alvarado, TX 76009 | 2017-11-01 |
1194143016 | Lifeway Dental | Dentist | 505 E Hwy 67, Alvarado, TX 76009 | 2014-03-29 |
1134555485 | Us Drug Mart, Inc. | Pharmacy | 601 N Parkway Dr, Ste A, Alvarado, TX 76009 | 2013-09-18 |
1396095394 | Alvarado Family Dentistry | Clinic/Center | 905 N. Cummings Drive, Alavardo, TX 76009 | 2012-09-17 |
1174701924 | Alvarado Chiropractic Health & Wellness | Chiropractor | 805 E Hwy 67, Alvarado, TX 76009 | 2008-02-04 |
1154506046 | Mobility Orthotics and Prosthetics | Durable Medical Equipment & Medical Supplies | 5720 Valley St, Suite 1, Alvarado, TX 76009 | 2008-01-09 |
1790802387 | Alvarado Isd | Local Education Agency (LEA) | 110 Bill Jackson Dr, Alvarado, TX 76009 | 2007-03-26 |
1760573117 | Jerry Harold Hidlebaugh | Dentist | 202 East Weaver St., Alvarado, TX 76009 | 2006-09-28 |
1558305391 | Nick Gagich | Chiropractor | 805 E Highway 67, Alvarado, TX 76009 | 2006-06-15 |
1386696136 | Johnson Diaz Dellosa | Family Medicine | 515 East Highway 67, Alvarado, TX 76009 | 2006-05-17 |
Find all providers in zip 76009 |
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 |
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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.