JARED COFFEY (NPI# 1770108953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770108953 |
| Entity Type | Individual |
| Full Name | JARED COFFEY |
| Practice Address |
4601 Medical Center Dr Ste F Mckinney TX 75069-1771 |
| Mailing Address |
281 Celtic Rd Howe TX 75459-3688 |
| Practice Telephone | 4697310957 |
| Enumeration Date | 2020-06-12 |
| Last Update Date | 2020-06-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Street Address |
4601 MEDICAL CENTER DR STE F |
| City | MCKINNEY |
| State | TX |
| Zip Code | 75069-1771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902158082 | Amanda Coffey | Behavioral Analyst | 4601 Medical Center Dr Ste F, Mckinney, TX 75069 | 2012-10-12 |
| 1649736232 | Heather Calaway | Behavior Technician | 4601 Medical Center Dr Ste F, Mckinney, TX 75069-1771 | 2019-02-19 |
| 1962968602 | Taylor Blanco | Behavior Technician | 4601 Medical Center Dr Ste F, Mckinney, TX 75069-1771 | 2019-02-19 |
| 1053877886 | Ashley N Jacobs | Behavior Technician | 4601 Medical Center Dr Ste F, Mckinney, TX 75069-1771 | 2019-02-18 |
| 1710443726 | Taylor Ann Bain | Behavioral Analyst | 4601 Medical Center Dr Ste F, Mckinney, TX 75069-1771 | 2019-02-14 |
| 1073079158 | Cole Rollins | Behavior Technician | 4601 Medical Center Dr Ste F, Mckinney, TX 75069-1771 | 2019-02-14 |
| 1922564061 | Hailey Nicole Foster | Behavior Technician | 4601 Medical Center Dr Ste F, Mckinney, TX 75069-1771 | 2019-02-13 |
| 1679039721 | Alanna Sperry | Behavior Technician | 4601 Medical Center Dr Ste F, Mckinney, TX 75069-1771 | 2019-02-13 |
| 1568928604 | Melina Marie Munoz | Behavior Technician | 4601 Medical Center Dr Ste F, Mckinney, TX 75069-1771 | 2019-02-13 |
| 1265909881 | Abigal Schilli | Behavior Technician | 4601 Medical Center Dr Ste F, Mckinney, TX 75069-1771 | 2018-11-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063026029 | Tiffany Lynn Lowery | Family Medicine | 103 East Lamar St, Mckinney, TX 75069 | 2020-09-06 |
| 1689285603 | Heather Nicole Hester | Social Worker | 4601 Medical Drive Ste F, Mckinney, TX 75069 | 2020-08-13 |
| 1114552916 | Wonderfully Made Wellness Sanctuary | Nurse Practitioner | 105 S. Tennessee Street Suite 102, Mckinney, TX 75069 | 2020-03-12 |
| 1477030385 | Kristyn Lowe | Licensed Vocational Nurse | 110 E Louisiana, Suite 201-amp, Mckinney, TX 75069 | 2018-07-24 |
| 1710464631 | Shasta Massey | Registered Nurse | 110 E Louisinana, Suite 201-amp, Mckinney, TX 75069 | 2018-07-24 |
| 1215414149 | Allison Marion | Registered Nurse | 110 E Louisiana St, Suite 201-amp, Mckinney, TX 75069 | 2018-07-24 |
| 1497273759 | Kim C. Carson | Counselor | 201 W. Virginia Suite 203, Mckinney, TX 75069 | 2017-09-06 |
| 1629596283 | Christy Lynne Billings | Counselor | 101 W. Louisiana St. Suite # 208, Mckinney, TX 75069 | 2017-09-05 |
| 1932623626 | Lauren Broadbent | Speech-Language Pathologist | 265 Plateau Drive, Mckinney, TX 75069 | 2017-08-03 |
| 1932623147 | Lindsey Ann Gillespie | Nurse Practitioner | 4561 Medical Center Drive, Mckinney, TX 75069 | 2017-07-29 |
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| 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 |
|---|---|---|---|---|
| 1215477799 | 1-2-1 Community Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4100 Eldorado Pkwy Ste 100, Mckinney, TX 75070-4530 | 2017-03-02 |
| 1063951002 | Iam Capital Group LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4100 Eldorado Pkwy, #100, Mckinney, TX 75070-6102 | 2017-02-22 |
| 1962753913 | A Better Choice LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5913 Big Pine Dr, Mckinney, TX 75070-9586 | 2012-09-29 |
| 1467085043 | Unlimited Care Facility LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3609 Truman St, Mckinney, TX 75071-2909 | 2020-02-21 |
| 1114122330 | Audrey D Alexander | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6524 Canyon Crest Dr, Mckinney, TX 75071-4694 | 2007-06-18 |
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|---|---|---|---|---|
| 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.