LIVING HOPE TEXARKANA, LLC (NPI# 1972539674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972539674 |
Entity Type | Organization |
Organization Name | LIVING HOPE TEXARKANA, LLC |
Practice Address |
1000 Pine St 5th Floor Texarkana TX 75501-5100 |
Mailing Address |
1111 Hazel St Texarkana TX 75501-5229 |
Practice Telephone | 9037934673 |
Practice Fax Number | 9037918385 |
Mailing Telephone | 9037918388 |
Mailing Fax Number | 9037918385 |
Enumeration Date | 2006-06-24 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. DAVID KIMBRO STEPHENS (OWNER) |
Authorized Official Telephone | 9037489421 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 283Q00000X | Psychiatric Hospital | Hospitals |
Street Address |
1000 PINE ST 5TH FLOOR |
City | TEXARKANA |
State | TX |
Zip Code | 75501-5100 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649275496 | David Lee Carlisle | Specialist | 1000 Pine St, Texarkana, TX 75501-5100 | 2005-06-17 |
1821616343 | Sher Lynn Fomby | Nurse Practitioner | 1000 Pine St, Texarkana, TX 75501-5100 | 2020-07-10 |
1609401959 | Zachary Heath Jones | Registered Nurse | 1000 Pine St, Texarkana, TX 75501-5100 | 2020-03-06 |
1528535143 | Johanna Morgan Hensley | Registered Nurse | 1000 Pine St, Texarkana, TX 75501-5100 | 2018-11-01 |
1205388212 | Cristi Anthony Hicks | Nurse Practitioner | 1000 Pine St, Texarkana, TX 75501-5100 | 2016-10-26 |
1861872467 | Karen Denise Marks | Social Worker | 1000 Pine St, Texarkana, TX 75501-5100 | 2015-06-09 |
1942601547 | Pam Squared At Texarkana, LLC | Long Term Care Hospital | 1000 Pine St, 6th Floor, Texarkana, TX 75501-5100 | 2014-09-15 |
1962819664 | Crystal Lites Speede | Nurse Practitioner | 1000 Pine St, Er, Texarkana, TX 75501-5100 | 2014-07-15 |
1295154284 | Rodney Lagrone Jr. | Anesthesiology | 1000 Pine St, Texarkana, TX 75501 | 2014-04-07 |
1700211737 | Twice Nice Anesthesia Associates, Pllc | Nurse Anesthetist, Certified Registered | 1000 Pine St, Texarkana, TX 75501-5100 | 2013-09-10 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598227951 | Shayla Lasonde Williams | Licensed Vocational Nurse | 409 Tracey Ave, Wake Village, TX 75501 | 2019-04-04 |
1861900904 | Tiffany Anne Baugus | Nurse Practitioner | 2600 St. Michael Drive, Texarkana, TX 75501 | 2018-01-10 |
1104363258 | Brent Willis | Nurse Anesthetist, Certified Registered | 203 La Grange Dr., Texarkana, TX 75501 | 2017-01-27 |
1154627644 | Patricia Maree Baker | Counselor | 1001 Texas Blvd., Suite 106, Texarkana, TX 75501 | 2011-02-01 |
1730323452 | William Leonard | Occupational Therapy Assistant | 2108 5th Street, Bridgeport, TX 75501 | 2009-04-24 |
1700071552 | Roger House Md, Psychiatric Services | Case Management | 2401 Summerhill Rd., Suite A, Texarkana, TX 75501 | 2007-09-13 |
1134248271 | Brent Bultemeier Pa | Chiropractor | 3207 New Boston Road, Texarkana, TX 75501 | 2007-03-28 |
1346395977 | Sharon E. Moore | Registered Nurse | Youree Drive, Shreveport, LA 75501 | 2007-01-24 |
1962553024 | Leary Independent School District | Local Education Agency (LEA) | 9500 W. New Boston Rd, Texarkana, TX 75501 | 2007-01-16 |
1780787390 | Christina Michelle Griffin | Physical Therapist | 1315 Walnut, Temple Memorial Rehabiliation Ctr, Texarkana, TX 75501 | 2006-09-07 |
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Taxonomy Code | 283Q00000X |
Grouping | Hospitals |
Classification | Psychiatric Hospital |
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669428785 | Living Hope Southwest Medical Services, LLC | Psychiatric Hospital | 801 Arkansas Blvd, Texarkana, AR 71854-2107 | 2006-05-26 |
1417199225 | Riverview Behavioral Health, LLC | Psychiatric Hospital | 701 Arkansas Blvd, Texarkana, AR 71854 | 2009-03-26 |
1700810637 | Living Hope Healing Waters | Psychiatric Hospital | 1000 Pine St, Texarkana, TX 75501-5100 | 2006-07-10 |
1467485680 | Texarkana Behavioral Associates Lc | Psychiatric Hospital | 801 Arkansas Blvd, Texarkana, AR 71854-2107 | 2006-07-09 |
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1033744743 | Medical Behavioral Hospital of Clear Lake, LLC | Psychiatric Hospital | 16850 Buccaneer Ln, Houston, TX 77058-2507 | 2020-03-03 |
1366080525 | Oceans Behavioral Hospital of Amarillo, LLC | Psychiatric Hospital | 7501 Wallace Blvd Ste 200, Amarillo, TX 79124-2150 | 2019-12-18 |
1922642040 | Carrus Behavioral Hospital LLC | Psychiatric Hospital | 1724 W Us Highway 82 Ste 200, Sherman, TX 75092-7037 | 2019-10-31 |
1326692872 | Oceans Behavioral Hospital of Waco LLC | Psychiatric Hospital | 5931 Crosslake Parkway, Waco, TX 76712 | 2019-08-01 |
1346805520 | Perimeter Behavioral Hospital of Arlington, LLC | Psychiatric Hospital | 7000 U.S. 287 Frontage Road, Arlington, TX 76001-7600 | 2019-05-03 |
1558851394 | Woodlands Integrative Care Hospital | Psychiatric Hospital | 1006 Windsor Lake Blvd., Suite 200, Conroe, TX 77384 | 2018-05-17 |
1548757446 | Thomas-pullen Instution of Hope, LLC | Psychiatric Hospital | 212 Burberry, Grand Prairie, TX 75052-0033 | 2018-04-16 |
1740791748 | Woodland Springs, LLC | Psychiatric Hospital | 15860 Old Conroe Rd, Conroe, TX 77384-3485 | 2017-10-17 |
1134677552 | Texas Health Springwood Behavioral Health Hospital | Psychiatric Hospital | 2717 Tibbets Dr, Bedford, TX 76022-6914 | 2016-09-14 |
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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.