METAMORPHOSIS CLIENT CARE CENTER, LLC (NPI# 1295382190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295382190 |
| Entity Type | Organization |
| Organization Name | METAMORPHOSIS CLIENT CARE CENTER, LLC |
| Practice Address |
9066 Hines Cir Cresson TX 76035-1106 |
| Practice Telephone | 6824006550 |
| Mailing Telephone | 6824006550 |
| Enumeration Date | 2019-08-25 |
| Last Update Date | 2020-07-30 |
| Authorized Official Name | MS. MARY WEATHERSPOON BRYANT (FOUNDER/OWNER) |
| Authorized Official Telephone | 6824006550 |
| 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 |
9066 HINES CIR |
| City | CRESSON |
| State | TX |
| Zip Code | 76035-1106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346887411 | Steps With Horses | Clinic/Center | 5800b Monroe Hwy, Cresson, TX 76035-4045 | 2019-12-07 |
| 1063759652 | Jack C. Keen | Specialist | 408 Stone Mountain Ct, Cresson, TX 76035-5628 | 2013-01-15 |
| 1083945026 | Jennifer Ann Ratcliffe | Registered Nurse | 401 Stone Mountain Ct, Cresson, TX 76035-5629 | 2010-01-14 |
| 1235600487 | Frances Kay Pruitt | Nurse's Aide | 119 Woodstream Ct, Cresson, TX 76035-5681 | 2018-12-16 |
| 1295282135 | Earl Lee Karr IIi | Counselor | 229 S Skyline Ct, Cresson, TX 76035-5834 | 2016-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275148363 | Alicia Jean Shedlock | Nurse Practitioner | 530 Gwinn Ave, Cresson, PA 16630-1056 | 2020-09-15 |
| 1346887411 | Steps With Horses | Clinic/Center | 5800b Monroe Hwy, Cresson, TX 76035-4045 | 2019-12-07 |
| 1568009363 | Maddie Bender | Physical Therapist | 7452 Admiral Peary Hwy Ste 3, Cresson, PA 16630-1706 | 2019-11-30 |
| 1235600487 | Frances Kay Pruitt | Nurse's Aide | 119 Woodstream Ct, Cresson, TX 76035-5681 | 2018-12-16 |
| 1518408996 | Ashley L Roberts | Nurse Practitioner | 313 Country Club Rd, Cresson, PA 16630-1408 | 2017-03-17 |
| 1295282135 | Earl Lee Karr IIi | Counselor | 229 S Skyline Ct, Cresson, TX 76035-5834 | 2016-09-08 |
| 1003264706 | Drayer Physical Therapy Institute LLC | Physical Therapist | 7452 Admiral Peary Hwy, Suite 3, Cresson, PA 16630-1717 | 2016-06-03 |
| 1225415250 | Fireside Massage | Health Maintenance Organization | 110 Keystone Ave, Cresson, PA 16630-1213 | 2015-04-28 |
| 1730578873 | Brenda S Mullen | Counselor | 113 Sumner St, Cresson, PA 16630-2118 | 2015-01-13 |
| 1962813170 | Stephen Tomlinson | Behavioral Analyst | 310 North Ave, Cresson, PA 16630-1000 | 2014-05-12 |
| Find all providers in CRESSON | ||||
| 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 |
|---|---|---|---|---|
| 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.