MR. DONALD R ELLISON (NPI# 1396054961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396054961 |
| Entity Type | Individual |
| Full Name | MR. DONALD R ELLISON |
| Practice Address |
14611 Chasemont Dr Missouri City TX 77489-1807 |
| Practice Telephone | 2814167487 |
| Mailing Telephone | 2814167487 |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2011-06-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities | ||
| N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities | ||
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities | ||
| N | 385H00000X | Respite Care | Respite Care Facility |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659486363 | Donald Ellison | Optometrist | 3635 Aloma Ave, #1029, Oviedo, FL 32765-6395 | 2006-08-20 |
| Street Address |
14611 CHASEMONT DR |
| City | MISSOURI CITY |
| State | TX |
| Zip Code | 77489-1807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760018493 | Kate Anim Koranteng | Registered Nurse | 14001fondren Rd Apt 538, Missouri City, TX 77489 | 2020-03-13 |
| 1114490042 | Cindy Collins | Specialist | 2431 Cartwright Rd, Missouri City, TX 77489 | 2019-01-03 |
| 1114435989 | Dora M Griffin | Speech-Language Pathologist | 2214 Maplegate Dr., Missouri City, TX 77489 | 2018-01-16 |
| 1942719323 | Loving Arms Senior Assistance | Custodial Care Facility | 16747 Quail Prak Dr, Missouri, TX 77489 | 2017-09-28 |
| 1669997730 | Darwyn Donte Glover | Case Manager/Care Coordinator | 16402 Skeet Ct, Missouri City, TX 77489 | 2017-08-09 |
| 1821512153 | Cyrus Johnson | Specialist | 2322 Rivervalley Dr., Missouri City, TX 77489 | 2017-07-28 |
| 1174045546 | Goucs Healthcare Services, LLC | Technician | 1403 Orchid Dr, Missouri City, TX 77489 | 2017-07-07 |
| 1417305491 | Alpha Care Cma | Case Management | 510 Saberwood Dr, Missouri City, TX 77489 | 2016-05-31 |
| 1427403575 | Jeanette Hoffmann | Counselor | 3 Sugat Creek Center Blvd, Suiste 100, Office 168, Sugarland, TX 77489 | 2016-04-26 |
| 1932573375 | Victory House Calls | Nurse Practitioner | 6519 Briargate Trails, Missouri, TX 77489 | 2015-11-23 |
| Find all providers in zip 77489 | ||||
| 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 |
|---|---|---|---|---|
| 1154933455 | Jb Davidson Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1946 Lake Winds Dr, Missouri City, TX 77459-1708 | 2020-08-18 |
| 1881219012 | Allied Community Connections, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1546 Quail Trace Dr, Missouri City, TX 77489-5252 | 2020-06-12 |
| 1184281032 | Letitia Kuykendall | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1855 Hilton Head Dr, Missouri City, TX 77459-3423 | 2019-05-28 |
| 1093158115 | B & F Care Group Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 730 Stephanie Dr, Missouri City, TX 77489-2218 | 2013-04-08 |
| 1174886030 | Upscale Revitalization Community Development Corporation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4440 Lexington Blvd, Missouri City, TX 77459-2821 | 2012-06-16 |
| 1386925014 | Cherise Drevelle Ramirez | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2215 Allison Ct, Missouri City, TX 77459-2133 | 2011-09-08 |
| 1700101847 | Abling Minds Personal Care Homes, Hcs | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1919 Wildwood Ridge Dr, Missouri City, TX 77489-2914 | 2010-03-31 |
| 1831413319 | Gemeline Atlan | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1407 River Rock Dr, Missouri City, TX 77489-4181 | 2010-03-26 |
| 1407041643 | Josephines Home Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7510 Dawndriar Ct, Missouri City, TX 77489 | 2007-09-11 |
| 1538363775 | Sefan Healthcare Services, Inc. (hcs) | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7439 W Fuqua Dr, Missouri City, TX 77489-2416 | 2007-06-12 |
| Find all providers in MISSOURI CITY | ||||
| City | MISSOURI CITY |
| Zip Code | 77489 |
Please comment or provide details below to improve the information on MR. DONALD R ELLISON.
| 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.