MY HEALTH MY RESOURCES OF TARRANT COUNTY (NPI# 1376590422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376590422 |
| Entity Type | Organization |
| Organization Name | MY HEALTH MY RESOURCES OF TARRANT COUNTY |
| Other Organization Name | MHMR OF TARRANT COUNTY |
| Practice Address |
3840 Hulen St Fort Worth TX 76107-7277 |
| Mailing Address |
Po Box 2603 Fort Worth TX 76113-2603 |
| Practice Telephone | 8175694395 |
| Practice Fax Number | 8175694517 |
| Mailing Telephone | 8175694395 |
| Mailing Fax Number | 8175694517 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2017-10-11 |
| Authorized Official Name | MS. YOLANDA F MONTES (ENROLLMENT COORDINATOR) |
| Authorized Official Telephone | 8175695235 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
| N | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities | ||
| N | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities | ||
| N | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities | ||
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 135082905 | 05 | |
| TX | 135082906 | 05 | |
| TX | 081599501 | 05 | |
| TX | 135082907 | 05 | |
| TX | 135082908 | 05 | |
| TX | 135082901 | 05 | |
| TX | 135082902 | 05 |
| Other Name | Type Code |
|---|---|
| MHMR of Tarrant County | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083813000 | My Health My Resources of Tarrant County | Case Management | 405 S Elm St, Suite 102, Denton, TX 76201-6068 | 2007-07-11 |
| 1932308947 | My Health My Resources of Tarrant County | Case Management | 1300 Circle Dr, Fort Worth, TX 76119-8113 | 2007-07-11 |
| 1427266576 | My Health My Resources of Tarrant County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4833 Diaz Ave, Fort Worth, TX 76107-6131 | 2007-05-21 |
| 1487862538 | My Health My Resources of Tarrant County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6312 Kingswood Dr, Fort Worth, TX 76133-3518 | 2007-05-21 |
| 1447467600 | My Health My Resources of Tarrant County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 701 Sandy Ln, Fort Worth, TX 76120-2319 | 2007-05-17 |
| 1265648224 | My Health My Resources of Tarrant County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1819 Parker Rd, Arlington, TX 76012-3736 | 2007-05-15 |
| 1770799728 | My Health My Resources of Tarrant County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6341 Juneau Rd, Fort Worth, TX 76116-1613 | 2007-05-15 |
| 1063628923 | My Health My Resources of Tarrant County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1619 Pipeline Rd E, Bedford, TX 76022-7661 | 2007-05-15 |
| 1720294762 | My Health My Resources of Tarrant County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 404 Hollandale Cir, Arlington, TX 76010-0323 | 2007-05-15 |
| 1831303239 | My Health My Resources of Tarrant County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3704 Cibola Dr, Fort Worth, TX 76133-5622 | 2007-05-09 |
| Street Address |
3840 HULEN ST |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76107-7277 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720044712 | Lynne C Pompetti | Registered Nurse | 3840 Hulen St, Fort Worth, TX 76107-7277 | 2006-04-26 |
| 1972104768 | Angelica Pineda | Registered Nurse | 3840 Hulen St, Fort Worth, TX 76107-7277 | 2020-11-06 |
| 1912507229 | Cassandra Marie Demora | Registered Nurse | 3840 Hulen St, Fort Worth, TX 76107-7277 | 2020-10-27 |
| 1306444781 | Shaleese Rockett | Social Worker | 3840 Hulen St, Fort Worth, TX 76107-7277 | 2020-10-16 |
| 1730795907 | Tyler Macdonell | Physical Therapist | 3840 Hulen St, Fort Worth, TX 76107-7277 | 2020-09-22 |
| 1366058521 | Dawnita West | Registered Nurse | 3840 Hulen St, Fort Worth, TX 76107-7277 | 2020-09-22 |
| 1447866181 | Rachel Sotelo | Speech-Language Pathologist | 3840 Hulen St, Fort Worth, TX 76107-7277 | 2020-09-18 |
| 1912513912 | Emily Bourget | Speech-Language Pathologist | 3840 Hulen St, Fort Worth, TX 76107-7277 | 2020-09-16 |
| 1114533130 | Olufunke Jinadu | Registered Nurse | 3840 Hulen St, Fort Worth, TX 76107-7277 | 2020-09-16 |
| 1760093173 | Martina M Silva | Counselor | 3840 Hulen St, Fort Worth, TX 76107-7277 | 2020-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629683602 | Renovo Wound and Hyperbarics Pllc | Emergency Medicine | 5668 Edwards Ranch Road, Suite 101, Fort Worth, TX 76107 | 2020-09-15 |
| 1669085437 | Ryan Bourgeois | Nurse Practitioner | 2917 Crocket Street, Fort Worth, TX 76107 | 2020-08-31 |
| 1053920546 | Christa Marie Widjaja | Optometrist | 1700 Montgomery St, Fort Worth, TX 76107 | 2020-07-30 |
| 1093351355 | Raymond Iannone | Pharmacist | 850 Montgomery St, Suite #310, Fort Worth, TX 76107 | 2019-11-21 |
| 1053963744 | Cumulus Injury Resolution, Inc. | Chiropractor | 4936 Byers Avenue, Fort Worth, TX 76107 | 2019-07-12 |
| 1770135576 | Shadia Osakwe | Physician Assistant | 855 Montgomery Street, Pediatric Clinic, Fort Worth, TX 76107 | 2019-07-11 |
| 1568945442 | Sachin P Patel | Physical Therapist | 4825 Wellesley St, Fort Worth, TX 76107 | 2018-09-07 |
| 1023594025 | Ftw Pharmacy Services Inc | Durable Medical Equipment & Medical Supplies | 2912 W 6th St Ste 150, Fort Worth, TX 76107 | 2018-07-13 |
| 1669974325 | Helen Williamson Elliott | Counselor | 1751 River Run #217, Fort Worth, TX 76107 | 2018-03-08 |
| 1487156931 | Pelvic Neuromonitoring Pllc | Electrodiagnostic Medicine | 111 Boland St #211, Ft Worth, TX 76107 | 2018-03-01 |
| Find all providers in zip 76107 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1770105678 | Regina Renee Edwards | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3841 Irish Setter Dr, Fort Worth, TX 76123-2596 | 2020-05-13 |
| 1003371444 | Azarian Manor LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10325 Pleasant Mound Dr, Fort Worth, TX 76108-4927 | 2019-02-08 |
| 1427405083 | Ablecare Group Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2533 Mill Springs Pass, Fort Worth, TX 76123-2615 | 2016-05-24 |
| 1972849594 | 1 Amazing Family, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4017 Winter Springs Dr, Fort Worth, TX 76123-3410 | 2012-12-31 |
| 1861767493 | Ricky's Hcs Place, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 12001 Walden Wood Dr, Fort Worth, TX 76244-5571 | 2012-03-15 |
| 1568747517 | Opportunities Residential Services, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4708 Ardenwood Dr., Fort Worth, TX 76123 | 2011-10-20 |
| 1730479973 | An Open Door Group Home, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7840 Whitney Ln, Fort Worth, TX 76112-6168 | 2011-04-08 |
| 1760771323 | A Family Care Residential Services, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3109 Prairie Ave, Fort Worth, TX 76106-5473 | 2011-04-05 |
| 1871896696 | Cisneros Real Estate Solutions, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2727 S Adams St, Fort Worth, TX 76110-3104 | 2010-12-16 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76107 |
Please comment or provide details below to improve the information on MY HEALTH MY RESOURCES OF TARRANT COUNTY.
| 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.