Pecan Valley Mhmr Region in Burleson - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Pecan Valley Mhmr Region - NPI 1942428065
Pecan Valley Mhmr Region is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Burleson, Texas. Pecan Valley Mhmr Region practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Pecan Valley Mhmr Region is 1942428065. The last update date is 2020-08-22.
Pecan Valley Mhmr Region's current location address is 908 Brown Crest Rd, Burleson, Texas. You can contact this provider via phone number 8174478816. The mailing address for Pecan Valley Mhmr Region is 908 Brown Crest Rd, Burleson, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pecan Valley Mhmr Region |
|---|---|
| Address | 908 Brown Crest Rd, Burleson, Texas |
| Phone Number | 8174478816 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MIS DIRECT |
|---|---|
| Authorized Official Name | Whaite Ralph |
| Telephone Number | 9403973147 |
NPI Number Detail
| NPI Number | 1942428065 |
|---|---|
| Provider Enumeration Date | 2007-04-23 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 908 Brown Crest Rd |
|---|---|
| City | Burleson |
| State | Texas (TX) |
| Post Code | 760285136 |
| Phone Number | 8174478816 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
| Licence No | 1014217 |
|
Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1014217 | DADS CONTRACT |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Pecan Valley Mhmr Region by the Centers for Medicare & Medicaid Services?
The Pecan Valley Mhmr Region has been assigned the NPI (National Provider Identifier) 1942428065 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Pecan Valley Mhmr Region's facilities are situated?
The facilities of Pecan Valley Mhmr Region are physically located at the following address: 908 Brown Crest Rd, Burleson, TX, 760285136.
What is Pecan Valley Mhmr Region's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Pecan Valley Mhmr Region is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy classification code for this specialized field is 320900000X.
On what date did Pecan Valley Mhmr Region receive its 1942428065 assignment from the Centers for Medicare & Medicaid Services?
The Pecan Valley Mhmr Region was assigned its 1942428065 on 2007-04-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Pecan Valley Mhmr Region, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Pecan Valley Mhmr Region, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.
NPI Number: 1932102142
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