S SHELBY COMMUNITY DEVELOPMENT CORPORATION (NPI# 1932330255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932330255 |
| Entity Type | Organization |
| Organization Name | S SHELBY COMMUNITY DEVELOPMENT CORPORATION |
| Other Organization Name | SHELBY & ASSOCIATES |
| Practice Address |
3829 E Loop 820 S Ste 210 Fort Worth TX 76119-4337 |
| Mailing Address |
Po Box 19153 Fort Worth TX 76119-1153 |
| Practice Telephone | 8177291150 |
| Mailing Telephone | 8177291150 |
| Mailing Fax Number | 8174512020 |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2009-08-04 |
| Authorized Official Name | MS. SHALITHA RENAE SHELBY (OWNER/ MANAGER) |
| Authorized Official Telephone | 8177291150 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 343900000X | Non-emergency Medical Transport (VAN) | 18616798 | TX | Transportation Services |
| N | 347C00000X | Private Vehicle | 18616798 | TX | Transportation Services |
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| SHELBY & ASSOCIATES | Doing Business As Name - Organization |
| Street Address |
3829 E LOOP 820 S STE 210 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76119-4337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467003111 | Asha Jamilia Robertson | Technician | 5321 Rita Kay Ln Lot #21, Fort Worth, TX 76119 | 2019-09-24 |
| 1801366406 | Gina Stovall | Behavioral Analyst | 1100 Circle Drive Suite 101, Fort Worth, TX 76119 | 2018-11-27 |
| 1730660374 | Lisa Alfaro Williams | Counselor | 3120, 22, 24 S.e. Loop 820, Fort Worth, TX 76119 | 2018-08-22 |
| 1023597366 | Gregoire M Butera | Registered Nurse | 3883 Mighty Mite Dr., Fort Worth, TX 76119 | 2018-08-08 |
| 1598244816 | Tawnya R Anderson | Registered Nurse | 3883 Mighty Mite Drive, Fort Worth, TX 76119 | 2018-08-08 |
| 1730699802 | Miller Dental Pllc | Dentist | 3307 Miller Ave Suite #a, Fort Worth, TX 76119 | 2017-10-03 |
| 1053853697 | Carla Walter | Community Health Worker | 4125 Hardeman Ave, Fort Worth, TX 76119 | 2016-11-14 |
| 1710238134 | Thuy Vy Phan | Physician Assistant | 2500 Circle Dr, Fort Worth, TX 76119 | 2012-09-25 |
| 1598031841 | Candace Frances Been | Podiatrist | Federal Bureau of Prisons Federal Medical Center Fort, 3150 Horton Road, Fort Worth, TX 76119 | 2012-03-30 |
| 1053600262 | Miller Dental | Dentist | 3307 Miller Ave Suite A, Fort Worth, TX 76119 | 2011-03-29 |
| Find all providers in zip 76119 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1629580287 | Arise Recovery Centers of America, LLC | Substance Abuse Rehabilitation Facility | 6115 Camp Bowie Blvd Ste 220, Fort Worth, TX 76116-5543 | 2017-11-03 |
| 1558818534 | Clearfork Academy Lp | Substance Abuse Rehabilitation Facility | 7820 Hanger Cut Off, Fort Worth, TX 76135 | 2016-09-07 |
| 1033453170 | Sober By Grace, Inc. | Substance Abuse Rehabilitation Facility | 2451 Bomar Ave, Fort Worth, TX 76103-2211 | 2012-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
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| 1124627443 | Resurgence Texas | Substance Abuse Rehabilitation Facility | 10703 Ranch Road 12, Wimberley, TX 78676-5239 | 2020-10-19 |
| 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 |
| 1396365870 | Texas Health Recovery and Wellness Center | Substance Abuse Rehabilitation Facility | 240 N Miller Rd, Mansfield, TX 76063-5842 | 2020-04-24 |
| Find all providers with the same taxonomy | ||||
| City | FORT WORTH |
| Zip Code | 76119 |
Please comment or provide details below to improve the information on S SHELBY COMMUNITY DEVELOPMENT CORPORATION.
| 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.