DR. MARY BROWN-JACOBS (NPI# 1528577483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528577483 |
Entity Type | Individual |
Full Name | DR. MARY BROWN-JACOBS |
Credential | ED.D. |
Practice Address |
501 Canvas Ct Crowley TX 76036-4338 |
Practice Telephone | 8179963138 |
Mailing Telephone | 18179963138 |
Enumeration Date | 2017-09-22 |
Last Update Date | 2017-09-22 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 305R00000X | Preferred Provider Organization | 16071202 | TX | Managed Care Organizations |
Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 16071202 | TX | Residential Treatment Facilities |
Street Address |
501 CANVAS CT |
City | CROWLEY |
State | TX |
Zip Code | 76036-4338 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295366342 | Donald Alastair Macleod | Marriage & Family Therapist | 1516 Mackinac Dr, Crowley, TX 76036 | 2020-01-28 |
1255811063 | Jennifer Sutherland | Physical Therapy Assistant | 724 W. Rendon Crowley Rd, Fort Worth, TX 76036 | 2018-08-21 |
1194205021 | Karla Kay Roupe | Speech-Language Pathologist | 1625 Ann Dossy Ct, Crowley, TX 76036 | 2018-08-20 |
1114419538 | Wocnt Pllc | Nurse Practitioner | 7309 Arroyo Way, Crowley, TX 76036 | 2018-06-01 |
1982071148 | Joseph Virgil | Counselor | 424 Nuffield Lane, Crowley, TX 76036 | 2015-08-24 |
1447655998 | Areya Square | Licensed Practical Nurse | 817 Loftin St, Crowley, TX 76036 | 2014-10-27 |
1124399324 | Wal-mart Stores Texas Lp | Technician/Technologist | 1221 Fm 1187, Crowley, TX 76036 | 2012-01-19 |
1760621171 | Sharon Lynn Good | Counselor | 824 S. Crowley Rd., Suite #6, Crowley, TX 76036 | 2009-02-09 |
1043457526 | Anchor Way Senior Care LLC | Assisted Living Facility | 10805 W. Cleburne Rd, Crowley, TX 76036 | 2009-01-20 |
1992979918 | Prochiropractic Clinic | Chiropractor | 1012 S Crowley Rd Ste B, Crowley, TX 76036 | 2008-04-22 |
Find all providers in zip 76036 |
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 |
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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.