Heryn Donald in Bedford - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Heryn Donald - NPI 1417150467
Heryn Donald is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Bedford, Texas. Heryn Donald practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Heryn Donald is 1417150467. The last update date is 2020-08-22.
Heryn Donald's current location address is 1001 Carousel Dr, Bedford, Texas. You can contact this provider via phone number 8177919040 and fax number 8175908305. The mailing address for Heryn Donald is 1001 Carousel Dr, Bedford, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Heryn Donald |
|---|---|
| Address | 1001 Carousel Dr, Bedford, Texas |
| Phone Number | 8177919040 |
| Fax Number | 8175908305 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PROGRAM DI |
|---|---|
| Authorized Official Name | Donald O Heryn |
| Telephone Number | 8177919040 |
NPI Number Detail
| NPI Number | 1417150467 |
|---|---|
| Provider Enumeration Date | 2007-06-07 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1001 Carousel Dr |
|---|---|
| City | Bedford |
| State | Texas (TX) |
| Post Code | 760213376 |
| Phone Number | 8177919040 |
| Fax Number | 8175908305 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
|
Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
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What is the unique 10-digit identifier code assigned to Heryn Donald by the Centers for Medicare & Medicaid Services?
The Heryn Donald has been issued the NPI (National Provider Identifier) 1417150467 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Heryn Donald?
The Heryn Donald is situated at 1001 Carousel Dr, in the city of Bedford, state of TX, with the zip code 760213376.
What is the Heryn Donald's area of specialization and corresponding taxonomy classification?
The Heryn Donald's specialty field is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and it falls under the taxonomy code 320900000X, which categorizes healthcare providers based on their specialties.
On what date was the 1417150467 assigned to Heryn Donald?
The Heryn Donald was issued its 1417150467 on 2007-06-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Heryn Donald most recently updated or revised?
The details related to Heryn Donald, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.
NPI Number: 1467434399
Address: 6502 Nursery Dr. Suite 100, Victoria, TX