NORTH NINTH HOUSE (NPI# 1710179171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710179171 |
Entity Type | Organization |
Organization Name | NORTH NINTH HOUSE |
Practice Address |
4210 N 9th St Abilene TX 79603-5464 |
Mailing Address |
Po Box 1880 Abilene TX 79604-1880 |
Practice Telephone | 3256776815 |
Practice Fax Number | 3256737829 |
Mailing Telephone | 3256776815 |
Mailing Fax Number | 3256737829 |
Enumeration Date | 2007-08-09 |
Last Update Date | 2008-06-24 |
Authorized Official Name | MR. DICKIE GREENWOOD (CHIEF EXECUTIVE OFFICER) |
Authorized Official Telephone | 3256776815 |
Is Organization Subpart | Y |
Parent Organization Name | DISABILITY RESOURCES |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 000781401 | TX | Residential Treatment Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | TEXAS DEPARTMENT OF AGING AND DISABILITIES | 000781401 | 01 |
Street Address |
4210 N 9TH ST |
City | ABILENE |
State | TX |
Zip Code | 79603-5464 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992248249 | Chirise Gray | Nurse Practitioner | 2110 N Willis St, Suite B, Abilene, TX 79603 | 2016-11-18 |
1598155855 | Cindy Hess | Nurse Practitioner | 2110 North Willis, Pregnancy Resources of Abilene, Abilene, TX 79603 | 2015-01-26 |
1558605147 | Farisa F Ali | Pharmacist | 991 North Willis Street, Abilene, TX 79603 | 2012-11-20 |
1871709543 | D&s Residential Services | Intermediate Care Facility, Mentally Retarded | 2234 A Amy Lyn Avenue, Abilene, TX 79603 | 2007-05-16 |
1114133873 | D&s Residential Services | Intermediate Care Facility, Mentally Retarded | 2234 B Amy Lyn Avenue, Abilene, TX 79603 | 2007-05-16 |
1740306083 | Eleanor E Bennett | Technician | 1460 Mimosa Drive, Abilene, TX 79603 | 2007-03-21 |
1104935857 | Greg Walter Waldrip | Chiropractor | 3301 N 3rd #134, Abileue, TX 79603 | 2006-08-29 |
1093727059 | Mark Nelson Tate | Dentist | 1025 Glenhaven, Abilene, TX 79603 | 2006-08-11 |
1912944299 | Express Medical Supply, Ltd. | Durable Medical Equipment & Medical Supplies | 3122 N 1st St, Abilene, TX 79603 | 2006-06-02 |
1326015959 | Megan Lee Kendall | Dietitian, Registered | 765 Orange, Abilene, TX 79603 | 2006-03-02 |
Find all providers in zip 79603 |
Taxonomy Code | 320600000X |
Grouping | Residential Treatment Facilities |
Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528579406 | Disability Resources Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3257 Varner Dr, Abilene, TX 79601-1174 | 2017-10-18 |
1720523475 | Orsburn House | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3602 N Clack, Abilene, TX 79601 | 2017-01-04 |
1366987083 | Kenwood House | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 951 Kenwood Dr, Abilene, TX 79601-4602 | 2017-01-04 |
1922290386 | Hawthorne House | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 526 Hawthorne St, Abilene, TX 79605-2704 | 2007-08-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619581782 | Joyful Psalm | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1354 Ravenwood Ct, Crowley, TX 76036-3472 | 2020-09-04 |
1790394161 | Modern Vintage Residential Care, LLC. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4015 Alexis Tate Cir, Missouri City, TX 77459-5039 | 2020-07-30 |
1285253856 | 1 Care Premier Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 340 N Sam Houston Pkwy E Ste A247, Houston, TX 77060-3305 | 2020-04-13 |
1568093888 | James Micah Howard | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 11911 Lakewood Trl, Tomball, TX 77377-8563 | 2020-01-27 |
1518507110 | Gems Residence LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5810 Liverpool St, Aubrey, TX 76227-1909 | 2020-01-10 |
1366081812 | Abundant Care Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1100 Maxfield St, Waco, TX 76705-2967 | 2020-01-02 |
1306487426 | Fort Healthcare LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5833 Oakbend Trail, #200, Fort Worth, TX 76132-3900 | 2019-09-30 |
1144877481 | Boniswa Portia Maduna | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 8000 Cook Rd Apt 1109, Houston, TX 77072-3939 | 2019-08-21 |
1871148171 | Kenneth Allen | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 135 E Menefee St, Lufkin, TX 75901-4701 | 2019-08-05 |
1124673553 | 1st A & M Healthcare Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 504 Spicewood Dr, Desoto, TX 75115-1485 | 2019-08-02 |
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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.