MISSION ROAD DEVELOPMENTAL CENTER (NPI# 1780761171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780761171 |
| Entity Type | Organization |
| Organization Name | MISSION ROAD DEVELOPMENTAL CENTER |
| Practice Address |
131 Burr Rd San Antonio TX 78209-6217 |
| Mailing Address |
8706 Mission Rd San Antonio TX 78214-3140 |
| Practice Telephone | 2018281246 |
| Mailing Telephone | 2109249265 |
| Mailing Fax Number | 2109226006 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. LORA BUTLER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2103342437 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 105610 | TX | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295812600 | Mission Road Developmental Center | Intermediate Care Facility, Mentally Retarded | 7520 S Sea Ln, San Antonio, TX 78216-6677 | 2006-11-01 |
| 1366529786 | Mission Road Developmental Center | Supports Brokerage | 8706 Mission Rd, San Antonio, TX 78214-3140 | 2006-11-01 |
| 1346327756 | Mission Road Developmental Center | Intermediate Care Facility, Mentally Retarded | 7618 Mockingbird Ln, San Antonio, TX 78229-2624 | 2006-11-01 |
| 1538532429 | Mission Road Developmental Center | Assisted Living Facility | 8706 Mission Rd, San Antonio, TX 78214-3140 | 2015-11-02 |
| 1154497444 | Mission Road Developmental Center | Supports Brokerage | 8706 Mission Rd, San Antonio, TX 78214-3140 | 2006-11-28 |
| 1164595963 | Mission Road Developmental Center | Case Management | 8706 Mission Rd, San Antonio, TX 78214-3140 | 2006-11-17 |
| 1356411946 | Mission Road Developmental Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 8706 Mission Rd, San Antonio, TX 78214-3140 | 2006-11-09 |
| 1649340407 | Mission Road Developmental Center | Assisted Living Facility | 8706 Mission Rd, San Antonio, TX 78214-3140 | 2006-11-09 |
| 1699844969 | Mission Road Developmental Center | Supports Brokerage | 8706 Mission Rd, San Antonio, TX 78214-3140 | 2006-11-08 |
| 1629148846 | Mission Road Developmental Center | Day Training, Developmentally Disabled Services | 8706 Mission Rd, San Antonio, TX 78214-3140 | 2006-11-08 |
| Street Address |
131 BURR RD |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78209-6217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891346359 | Westlake Dermatology of San Antonio Pllc | Dermatology | 5500 Broadway Ave Ste R100, Alamo Heights, TX 78209 | 2019-09-26 |
| 1265086045 | Westlake Dermatology, Pa | Dermatology | 5500 Broadway Ave, Alamo Heights, TX 78209 | 2019-07-30 |
| 1194207530 | Arthur Davies | Licensed Vocational Nurse | 8700 Crownhill Blvd #300, San Antonio, TX 78209 | 2018-09-01 |
| 1538649462 | Jessica Michelle Moore | Licensed Vocational Nurse | 8400 Crown Hill Blvd, San Antonio, TX 78209 | 2018-08-20 |
| 1871072645 | Olawunmi Olapeju Odele | Licensed Vocational Nurse | 8700 Crownhill Blvd. Ste.300, San Antonio, TX 78209 | 2018-08-12 |
| 1265921126 | Ashley L Garcia | Physician Assistant | 414 W Sunset Rd Ste 205, San Antonio, TX 78209 | 2018-05-07 |
| 1083117428 | New Choices Treatment Center LLC | Substance Abuse Rehabilitation Facility | 3050 Eisenhauer Rd Apt 501, San Antonio, TX 78209 | 2018-03-12 |
| 1629570106 | Julieta Rubio Hobbs | Counselor | 4301 Broadway St. 438, San Antonio, TX 78209 | 2018-03-01 |
| 1326550187 | Shannon Lee Crowley | Occupational Therapy Assistant | 403 Irvington Dr, San Antonio, TX 78209 | 2017-11-01 |
| 1932627007 | Juanita De Luna Salazar | Physical Therapist | 1635 Ne Interstate 410 Loop, #600, San Antonio, TX 78209 | 2017-09-08 |
| Find all providers in zip 78209 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134760002 | Premieant Inc | Intermediate Care Facility, Mentally Retarded | 6402 Regency Cv, San Antonio, TX 78249-4844 | 2019-10-02 |
| 1285299636 | Educare Community Living Corporation - Texas | Intermediate Care Facility, Mentally Retarded | 6647 Cades Cv, San Antonio, TX 78238-2238 | 2019-05-01 |
| 1730744186 | Educare Community Living Corporation - Texas | Intermediate Care Facility, Mentally Retarded | 7422 Quail Run Dr, San Antonio, TX 78209-3129 | 2019-05-01 |
| 1346692712 | Anchor Habilitation Service LLC | Intermediate Care Facility, Mentally Retarded | 18843 Redland Rd, San Antonio, TX 78259-3562 | 2016-07-08 |
| 1649609132 | Educare Community Living Corporation - Texas | Intermediate Care Facility, Mentally Retarded | 5303 Vista Run Dr, San Antonio, TX 78247-4684 | 2013-11-05 |
| 1700215290 | Educare Community Living Corporation - Texas | Intermediate Care Facility, Mentally Retarded | 12342 Mapletree St, San Antonio, TX 78249-2429 | 2013-11-05 |
| 1316376924 | Educare Community Living Corporation - Texas | Intermediate Care Facility, Mentally Retarded | 14038 Boulder Oaks, San Antonio, TX 78247-3103 | 2013-11-04 |
| 1710316328 | Educare Community Living Corporation - Texas | Intermediate Care Facility, Mentally Retarded | 5119 Stormy Sunset, San Antonio, TX 78247-1721 | 2013-11-04 |
| 1639508245 | Educare Community Living Corporation - Texas | Intermediate Care Facility, Mentally Retarded | 5223 Stormy Sunset, San Antonio, TX 78247-1723 | 2013-11-04 |
| 1902235518 | Educare Community Living Corporation - Texas | Intermediate Care Facility, Mentally Retarded | 17002 Vista Briar Dr, San Antonio, TX 78247-4636 | 2013-11-04 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78209 |
Please comment or provide details below to improve the information on MISSION ROAD DEVELOPMENTAL CENTER.
| 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.