HEART OF TEXAS REGION MENTAL HEALTH MENTAL RETARDATION CENTER (NPI# 1003906876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003906876 |
| Entity Type | Organization |
| Organization Name | HEART OF TEXAS REGION MENTAL HEALTH MENTAL RETARDATION CENTER |
| Practice Address |
612 Parkside Dr Groesbeck TX 76642-1125 |
| Mailing Address |
110 S 12th St P O Box 890 Waco TX 76701-1810 |
| Practice Telephone | 2547298177 |
| Practice Fax Number | 2547298176 |
| Mailing Telephone | 2547523451 |
| Mailing Fax Number | 2547527421 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2020-03-05 |
| Authorized Official Name | MR. DANIEL THOMPSON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2547523451 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | TX | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | VENDOR # | 000713401 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407224199 | Heart of Texas Region Mental Health Mental Retardation Center | Clinic/Center | 2220 Austin Ave, Waco, TX 76701-1625 | 2015-09-11 |
| 1154405371 | Heart of Texas Region Mental Health Mental Retardation Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 102 Jane St, Groesbeck, TX 76642-4912 | 2006-10-24 |
| 1194809459 | Heart of Texas Region Mental Health Mental Retardation Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 108 W Ward Dr, Robinson, TX 76706-5651 | 2006-10-24 |
| 1881778025 | Heart of Texas Region Mental Health Mental Retardation Center | Clinic/Center | 3420 W Waco Dr, Waco, TX 76710-5437 | 2006-10-24 |
| 1952485195 | Heart of Texas Region Mental Health Mental Retardation Center | Clinic/Center | 1105 Jefferson Ave, Waco, TX 76701-1212 | 2006-10-24 |
| 1619067485 | Heart of Texas Region Mental Health Mental Retardation Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2323 N 39th St, Waco, TX 76708-3003 | 2006-10-13 |
| 1861860892 | Heart of Texas Region Mental Health Mental Retardation Center | Clinic/Center | 1105 Jefferson Ave, Waco, TX 76701-1212 | 2015-09-08 |
| 1033517099 | Heart of Texas Region Mental Health Mental Retardation Center | Community/Behavioral Health | 110 S 12th St, Waco, TX 76701-1810 | 2014-12-08 |
| 1639399132 | Heart of Texas Region Mental Health Mental Retardation Center | Clinic/Center | 110 S 12th St, Waco, TX 76701-1810 | 2007-04-26 |
| 1972687119 | Heart of Texas Region Mental Health Mental Retardation Center | Clinic/Center | 110 S 12th St, Waco, TX 76701-1810 | 2006-10-24 |
| Street Address |
612 PARKSIDE DR |
| City | GROESBECK |
| State | TX |
| Zip Code | 76642-1125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700295524 | Kerstin Porter | Counselor | 403 Limestone County Road 170, Groesbeck, TX 76642 | 2014-08-06 |
| 1083030282 | Charity Therapy LLC | Occupational Therapist | 1108 N. Ellis St, Groesbeck, TX 76642 | 2014-03-12 |
| 1932431616 | County Hematology-oncology Clinics | Internal Medicine | 711 Mcclintic Drive, Hemo-onco Specialty Center, Groesbeck, TX 76642 | 2010-02-05 |
| 1083803738 | Bond Family Health Clinic | Nurse Practitioner | 104 S Dr Jb Riggs, Groesbeck, TX 76642 | 2007-10-18 |
| 1003016510 | Jason Wayne Trojacek | Physical Therapist | 1023 N. Ellis, Groesbeck, TX 76642 | 2007-07-23 |
| 1942401344 | Dennis Ray Kessler | Technician/Technologist | 344 Lcr 759, Groesbeck, TX 76642 | 2007-05-31 |
| 1629190566 | Groesbeck Isd | Local Education Agency (LEA) | 206 N. Archer, Groesbeck, TX 76642 | 2007-04-04 |
| 1982768628 | Connie J Moriatis | Case Manager/Care Coordinator | 908 Mcclintic Street, Groesbeck, TX 76642 | 2006-12-20 |
| 1831250752 | Charles Samuel Dillon IIi | Dentist | 513 E Yeagua, Groesbeck, TX 76642 | 2006-12-13 |
| 1043393572 | Michael Allan Stevens | Dentist | 902 W. Yeagua, Groesbeck, TX 76642 | 2006-10-20 |
| Find all providers in zip 76642 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154405371 | Heart of Texas Region Mental Health Mental Retardation Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 102 Jane St, Groesbeck, TX 76642-4912 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750980686 | Mimshack Care Homes LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 12330 Springcrest Dr, Houston, TX 77072-3219 | 2020-10-21 |
| 1679172936 | Re-care Incorporated | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 200 University Blvd Ste 225-374, Round Rock, TX 78665-1001 | 2020-10-19 |
| 1407454176 | Viandsa Care Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17203 Quiet Song Ct, Richmond, TX 77407-2964 | 2020-10-14 |
| 1053919050 | Building Bridges In Healthcare LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2007 Liberty Cove Ct, Richmond, TX 77469-2338 | 2020-10-12 |
| 1497353635 | Helping Hearts Residential Care, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 20319 Bridge Manor Ln, Richmond, TX 77407-6494 | 2020-10-10 |
| 1750989067 | Able Wisdom Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2203 Huntington Dr, Wylie, TX 75098-7164 | 2020-10-09 |
| 1518573609 | Jbk House of Care LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2624 Grand Gulf Rd, Fort Worth, TX 76123-2613 | 2020-09-23 |
| 1700492352 | St Monica Healthcare Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11311 Scottsdale Dr, Meadows Place, TX 77477-1811 | 2020-09-18 |
| 1265047534 | Compassion Structured Living Center LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 13578 San Martin Ln, Houston, TX 77083-5135 | 2020-09-13 |
| 1497369474 | Nexphase Healthcare LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1201 N Watson Rd Ste 205, Arlington, TX 76006-6120 | 2020-09-07 |
| Find all providers with the same taxonomy | ||||
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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.