REGINA RENEE EDWARDS (NPI# 1770105678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770105678 |
| Entity Type | Individual |
| Full Name | REGINA RENEE EDWARDS |
| Practice Address |
3841 Irish Setter Dr Fort Worth TX 76123-2596 |
| Practice Telephone | 6824140899 |
| Practice Fax Number | 8178356753 |
| Mailing Telephone | 6824140899 |
| Mailing Fax Number | 8178356753 |
| Enumeration Date | 2020-05-13 |
| Last Update Date | 2020-05-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | TX | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902850712 | Regina Carol Edwards | Speech-Language Pathologist | 40 Westgate Rd, Asheville, NC 28806-3023 | 2006-05-19 |
| 1841837150 | Regina Edwards | Counselor | 928 22nd Ave S, St Petersburg, FL 33705-2934 | 2019-12-05 |
| 1669972568 | Regina Edwards | Counselor | 200 S Broad St, New Orleans, LA 70119-6447 | 2018-02-16 |
| 1780104935 | Regina C Edwards | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10112 Grove Crest Ct, North Chesterfield, VA 23236-5531 | 2017-06-20 |
| 1033440920 | Regina Louise Edwards | Case Manager/Care Coordinator | 738 S Main St, Mount Airy, NC 27030-4724 | 2010-01-17 |
| 1609099522 | Regina Marie Edwards | Counselor | 100 Brewster Blvd, Naval Hospital, Camp Lejeune, NC 28547-2538 | 2007-04-10 |
| Street Address |
3841 IRISH SETTER DR |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76123-2596 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073130936 | R & R Divine Living | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3841 Irish Setter Dr, Fort Worth, TX 76123-2596 | 2020-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205440146 | Ismile Dental At The Chisolm Trail Pllc | Dentist | 5513 Sycamore School Rd, Fort Worth, TX 76123 | 2020-09-08 |
| 1558916361 | Nimu Pllc | Dentist | 5325 Mcpherson Blvd, Suite 120, Fort Worth, TX 76123 | 2019-08-08 |
| 1306361431 | Kelley Phillips | Counselor | 5013 Pallas Court, Fort Worth, TX 76123 | 2017-08-09 |
| 1396280756 | Chisholm Trail Emergency Center | Clinic/Center | 5500 Sycamore School Rd., Ste. 150, Fort Worth, TX 76123 | 2016-12-21 |
| 1457801391 | Point of Grace Home Health | Registered Nurse | 2533 Mill Spring Pass, Fort, TX 76123 | 2016-10-04 |
| 1992253306 | Jason Bowers | Specialist/Technologist, Other | 5316 Quail Feather Dr, Fort Worth, TX 76123 | 2016-09-14 |
| 1831546944 | Kalima Charway | Psychologist | 4532 Endercrest Lane, Fort Worth, TX 76123 | 2016-05-18 |
| 1033551577 | Michael Rose | Specialist | 4924 Belladonna Dr, Fort Worth, TX 76123 | 2013-07-25 |
| 1265871768 | Anna Uppal | Dentist | 100 Wolfe Nursery Street, 180, Stephenville, TX 76123 | 2013-06-18 |
| 1366880627 | Mesa Springs, LLC | Psychiatric Hospital | 5560 Mesa Springs Drive, Fort Worth, TX 76123 | 2013-06-10 |
| Find all providers in zip 76123 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1003371444 | Azarian Manor LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10325 Pleasant Mound Dr, Fort Worth, TX 76108-4927 | 2019-02-08 |
| 1427405083 | Ablecare Group Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2533 Mill Springs Pass, Fort Worth, TX 76123-2615 | 2016-05-24 |
| 1972849594 | 1 Amazing Family, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4017 Winter Springs Dr, Fort Worth, TX 76123-3410 | 2012-12-31 |
| 1861767493 | Ricky's Hcs Place, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 12001 Walden Wood Dr, Fort Worth, TX 76244-5571 | 2012-03-15 |
| 1568747517 | Opportunities Residential Services, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4708 Ardenwood Dr., Fort Worth, TX 76123 | 2011-10-20 |
| 1730479973 | An Open Door Group Home, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7840 Whitney Ln, Fort Worth, TX 76112-6168 | 2011-04-08 |
| 1760771323 | A Family Care Residential Services, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3109 Prairie Ave, Fort Worth, TX 76106-5473 | 2011-04-05 |
| 1871896696 | Cisneros Real Estate Solutions, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2727 S Adams St, Fort Worth, TX 76110-3104 | 2010-12-16 |
| 1588973168 | Cynthia F. Britton | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 821 Firewheel Trl, Fort Worth, TX 76112-1701 | 2010-09-30 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76123 |
Please comment or provide details below to improve the information on REGINA RENEE EDWARDS.
| 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.