ANDREWS CENTER - TX HOME LIVING (NPI# 1154491124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154491124 |
| Entity Type | Organization |
| Organization Name | ANDREWS CENTER - TX HOME LIVING |
| Practice Address |
2323 W Front St Tyler TX 75702-7704 |
| Mailing Address |
2607 Cecil Ln Athens TX 75752-6838 |
| Practice Telephone | 9035971351 |
| Mailing Telephone | 9036773520 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CAROL FONTENOT (CFT) |
| Authorized Official Telephone | 9035971351 |
| 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 | Residential Treatment Facilities |
| Street Address |
2323 W FRONT ST |
| City | TYLER |
| State | TX |
| Zip Code | 75702-7704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619967569 | Jan Lorenz | Nurse Practitioner | 2323 W Front St, Tyler, TX 75702-7704 | 2005-10-24 |
| 1982240776 | Pamela Summers | Nurse Practitioner | 2323 W Front St, Tyler, TX 75702-7747 | 2019-11-27 |
| 1154833713 | Cieja Chapman | Nurse Practitioner | 2323 W Front St, Tyler, TX 75702-7704 | 2017-11-03 |
| 1184159097 | Alex Park | Pharmacist | 2323 W Front St, Tyler, TX 75702-7704 | 2017-04-28 |
| 1548706815 | Mollie Eaton | Behavioral Analyst | 2323 W Front St, Tyler, TX 75702-7704 | 2017-01-11 |
| 1538604715 | Andrews Center -pinkerton | Social Worker | 2323 W Front St, Tyler, TX 75702-7704 | 2016-12-27 |
| 1609310150 | Rachel Massey | Behavioral Analyst | 2323 W Front St, Tyler, TX 75702-7704 | 2016-12-16 |
| 1871948992 | Alexandra Smith | Physician Assistant | 2323 W Front St, Tyler, TX 75702-7704 | 2016-04-26 |
| 1952773293 | Susan Blalock | Counselor | 2323 W Front St, Tyler, TX 75702-7704 | 2015-10-27 |
| 1851777148 | Andrews Center/drop In | Community Based Residential Treatment Facility, Mental Illness | 2323 W Front St, Tyler, TX 75702-7704 | 2015-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679116610 | Tiffiney Mcmakin | Nurse Practitioner | 810 E Houston St # 100, Tyler, TX 75702 | 2019-10-22 |
| 1659852507 | Krystal Gayle Lilley | Licensed Vocational Nurse | 100 E Ferguson St Ste 60a, Tyler, TX 75702 | 2018-08-28 |
| 1679029383 | Cynthia Lynn Kalawe | Physical Therapist | 100 E Ferguson, Suite 1204, Tyler, TX 75702 | 2016-09-01 |
| 1649623646 | Susan E Oxford | Social Worker | 13495 Frankston Highway, Tyler, TX 75702 | 2016-07-14 |
| 1053769281 | All Kidz Kan | Home Health | 2902 E Front St, Tyler, TX 75702 | 2016-05-27 |
| 1821415639 | Heather Mullins | Physical Therapy Assistant | 100 E. Ferguson Ste.1204, Tyler, TX 75702 | 2014-03-19 |
| 1346671336 | Dennis Keith Johnson | Dentist | 3081 Hwy. 31 East, Tyler, TX 75702 | 2013-12-02 |
| 1275882201 | Bobby Gibson | Counselor | 401 East Front Street, Ste 233, Tyler, TX 75702 | 2012-09-06 |
| 1144596792 | Tina Marie Borke | Clinical Neuropsychologist | 719 West Front St., Tyler, TX 75702 | 2012-03-28 |
| 1457629529 | James Whaley Rapp | Specialist/Technologist | 430 South Beckham Avenue, Trinity Mother Frances Sports Medicine, Tyler, TX 75702 | 2011-12-05 |
| Find all providers in zip 75702 | ||||
| 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 |
|---|---|---|---|---|
| 1992215982 | Project Empowering, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4123 Southpark Dr Apt 207, Tyler, TX 75703-1860 | 2017-10-04 |
| 1619293776 | Yolanda Yvonne Nelson | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1918 W Robbins St, Tyler, TX 75701-1235 | 2010-04-14 |
| 1730311770 | Absolute Choice | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3114 Harwood Dr, Tyler, TX 75701-7639 | 2009-08-09 |
| 1679771620 | Joe H. Oliver | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 911 Charleston Dr, Tyler, TX 75703-1112 | 2007-07-10 |
| 1154527224 | Linda Jill Sowell | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7284 Hill N Dale Rd, Tyler, TX 75709-4102 | 2007-06-25 |
| 1083638688 | Andrews Center/ Ann Rd | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3109 County Road 4167, Tyler, TX 75704-6101 | 2006-07-27 |
| 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 | ||||
Please comment or provide details below to improve the information on ANDREWS CENTER - TX HOME LIVING.
| 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.