TERESA ANN BOHANNAN (NPI# 1770194532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770194532 |
| Entity Type | Individual |
| Full Name | TERESA ANN BOHANNAN |
| Practice Address |
3725 Dutch Iris Ln Forest Hill TX 76140-7005 |
| Practice Telephone | 8172172869 |
| Mailing Telephone | 8172172869 |
| Enumeration Date | 2020-08-13 |
| Last Update Date | 2020-09-17 |
| 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 | Residential Treatment Facilities |
| Street Address |
3725 DUTCH IRIS LN |
| City | FOREST HILL |
| State | TX |
| Zip Code | 76140-7005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669030367 | Children & Family Services | Case Manager/Care Coordinator | 10129 South Race Street, Fort Worth, TX 76140 | 2019-05-29 |
| 1366890352 | Charisse Huey | Social Worker | 8512 Cherry Bark Lane, Fort Worth, TX 76140 | 2016-05-31 |
| 1144662479 | Tiwanna Ortiz | Specialist | 9308 Rhoni Court, Fort Worth, TX 76140 | 2013-07-29 |
| 1760618474 | Divine Home Health Care Services | Home Health | 308, Autumn Park, Fort-worth, TX 76140 | 2009-06-09 |
| 1336386044 | John P Murphy | Dentist | 1609 Everman Pkwy, Ft Worth, TX 76140 | 2009-01-16 |
| 1831306596 | Patricia R Morton | Dentist | 6619 Forest Hill #55, Fort Worth, TX 76140 | 2007-05-16 |
| 1669405551 | Occupational Health Centers of The Southwest, P.a. | Clinic/Center | 1132 Everman Parkway, Fort Worth, TX 76140 | 2006-07-07 |
| 1417994948 | Aerocare Home Medical Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 2816 Se Loop 820, Fort Worth, TX 76140 | 2006-06-01 |
| 1326539552 | Frontier Medical House Call Service LLC | Clinic/Center | 308 Autumn Park, Fort Worth, TX 76140 | 2018-05-23 |
| 1184813818 | American Current Care, P.a. | Clinic/Center | 1132 Everman Parkway, Fort Worth, TX 76140 | 2007-10-18 |
| Find all providers in zip 76140 | ||||
| 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 | FOREST HILL |
| Zip Code | 76140 |
Please comment or provide details below to improve the information on TERESA ANN BOHANNAN.
| 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.