PECAN VALLEY MHMR REGION (NPI# 1467672378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467672378 |
| Entity Type | Organization |
| Organization Name | PECAN VALLEY MHMR REGION |
| Other Organization Name | QUAIL PARK |
| Practice Address |
805 Quail Park Ln Cleburne TX 76031-7731 |
| Mailing Address |
650 W Green St Stephenville TX 76401-3311 |
| Practice Telephone | 8175580751 |
| Mailing Telephone | 2549657806 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | RALPH WHAITE (MIS DIRECTOR) |
| Authorized Official Telephone | 9403973147 |
| 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 | 1014218 | TX | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DADS CONTRACT | 1014218 | 01 |
| Other Name | Type Code |
|---|---|
| Quail Park | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013257799 | Pecan Valley Mhmr Region | Counselor | 2101 W. Pearl St., Granbury, TX 76048 | 2013-02-18 |
| 1376763284 | Pecan Valley Mhmr Region | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 271 Diamond Ln N, Burleson, TX 76028-6729 | 2007-04-26 |
| 1578781605 | Pecan Valley Mhmr Region | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2901 Fm 2280, Cleburne, TX 76031-7803 | 2007-04-23 |
| 1710105812 | Pecan Valley Mhmr Region | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1212 S Mill St, Weatherford, TX 76086-5734 | 2007-04-23 |
| 1043438153 | Pecan Valley Mhmr Region | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 202 Nw 23rd St, Mineral Wells, TX 76067-2998 | 2007-04-23 |
| 1073731105 | Pecan Valley Mhmr Region | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1018 Highland Rd, Cleburne, TX 76033-8615 | 2007-04-23 |
| 1508084625 | Pecan Valley Mhmr Region | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 105 Littlebrook Rd, Joshua, TX 76058-4816 | 2007-04-23 |
| 1942428065 | Pecan Valley Mhmr Region | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 908 Brown Crest Rd, Burleson, TX 76028-5136 | 2007-04-23 |
| 1083733364 | Pecan Valley Mhmr Region | Case Management | 650 W Green St, Stephenville, TX 76401-3311 | 2007-03-28 |
| 1225309537 | Pecan Valley Mhmr Region | Clinic/Center | 1601 N Anglin St, Cleburne, TX 76031-1835 | 2012-01-18 |
| Street Address |
805 QUAIL PARK LN |
| City | CLEBURNE |
| State | TX |
| Zip Code | 76031-7731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861973620 | Alycia Sauder | Physical Therapist | 433 Ruby Lane, Cleburne, TX 76031 | 2018-08-28 |
| 1619283744 | Meals On Wheels of Johnson and Ellis Counties Inc. | Meals | 106 E Kilpatrick St, Cleburne, TX 76031 | 2010-08-26 |
| 1801092739 | Jason J Avery | Physical Therapy Assistant | 1108 West Kilpatrik, Cleburne, TX 76031 | 2007-06-26 |
| 1215053772 | Assisted Living Concepts Inc | Assisted Living Facility | 814 Woodard Avenue, Cleburne, TX 76031 | 2007-03-22 |
| 1619093218 | Cleburne Surgical Center, LLC | Clinic/Center | 2010 W Katherine P Raines, Cleburne, TX 76031 | 2007-03-22 |
| 1376550244 | Marcia T Sampson Md Pa | Pediatrics | 2140 Fm 157 N, Mansfield, TX 76031 | 2006-08-02 |
| 1497760813 | Sidney Charles Pruitt IIi | Chiropractor | 103 E Lone Star, Cleburne, TX 76031 | 2006-07-31 |
| 1619497526 | Resilience Coaching and Counseling | Social Worker | 3628 Northcrest Dr, Cleburne, TX 76031 | 2017-06-21 |
| 1225109960 | Ronald Lee Isreal | Social Worker | 4016 Black Oak Dr, Cleburne, TX 76031-0197 | 2006-11-13 |
| 1689605750 | Jan K Curnow | Registered Nurse | 600 Willow Bend St, Cleburne, TX 76031-0313 | 2006-07-06 |
| Find all providers in zip 76031 | ||||
| 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 |
|---|---|---|---|---|
| 1578781605 | Pecan Valley Mhmr Region | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2901 Fm 2280, Cleburne, TX 76031-7803 | 2007-04-23 |
| 1073731105 | Pecan Valley Mhmr Region | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1018 Highland Rd, Cleburne, TX 76033-8615 | 2007-04-23 |
| 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.