CENTRIA HEALTHCARE


Address: 3813 Clotell Dr, Fort Worth, TX 76119-7742
Phone: 6822010889

CENTRIA HEALTHCARE (NPI# 1881046217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881046217
Entity Type Organization
Organization Name CENTRIA HEALTHCARE
Practice Address 3813 Clotell Dr
Fort Worth
TX 76119-7742
Practice Telephone 6822010889
Mailing Telephone 6822010889
Enumeration Date 2016-07-09
Last Update Date 2016-07-09
Authorized Official Name DANIELLE ROSEMARY BERNICE SMITH (BEHAVIOR TECHNICIAN)
Authorized Official Telephone 6822010889
Authorized Official Credential BAS PSYCHOLOGY
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health ========= TX Agencies

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1437603578 Centria Healthcare Case Management 2848 Clement St, Flint, MI 48504-3028 2016-08-06
1306399464 Centria Healthcare Case Management 11310 Balfour Rd, Detroit, MI 48224-1111 2016-07-25
1144672650 Centria Healthcare Technician, Other 17591 Santa Rosa Dr, Detroit, MI 48221-2644 2016-07-08
1699127621 Centria Healthcare Community/Behavioral Health 11051 Sandy Oak Trl, Cedar Springs, MI 49319-9238 2016-07-01
1518313246 Centria Healthcare Technician, Other 1477 Burke Ave Ne Apt B, Grand Rapids, MI 49505-5366 2016-05-12
1669864484 Centria Healthcare Case Management 17361 Prest St, Detroit, MI 48235-3731 2015-03-03
1649677873 Centria Healthcare Clinic/Center 7893 Harding St, Taylor, MI 48180-2535 2014-12-03
1942623871 Centria Healthcare Clinic/Center 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 2014-01-29

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities CENTRIA HEALTHCARE LLC 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326
Virginia Business Entities Centria Healthcare LLC 27777 Inkster Road, Suite 100, Farmington Hills, Michigan 48334
Colorado Business Entities Centria Healthcare LLC 27777 Inkster Rd., Ste. 100, Farmington Hills, MI 48334
Washington State Corporations CENTRIA HEALTHCARE LLC 4816 Aurora Ave N, Seattle, WA 98103
Oregon Corporations, Companies and Business Names CENTRIA HEALTHCARE LLC 27777 Inkster, Suite 100, Farmington Hills, MI 48334
Indiana Business Entities CENTRIA HEALTHCARE LLC 41521 W 11 Mile Rd, Novi, MI 48375

Office Location

Street Address 3813 CLOTELL DR
City FORT WORTH
State TX
Zip Code 76119-7742

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467003111 Asha Jamilia Robertson Technician 5321 Rita Kay Ln Lot #21, Fort Worth, TX 76119 2019-09-24
1801366406 Gina Stovall Behavioral Analyst 1100 Circle Drive Suite 101, Fort Worth, TX 76119 2018-11-27
1730660374 Lisa Alfaro Williams Counselor 3120, 22, 24 S.e. Loop 820, Fort Worth, TX 76119 2018-08-22
1023597366 Gregoire M Butera Registered Nurse 3883 Mighty Mite Dr., Fort Worth, TX 76119 2018-08-08
1598244816 Tawnya R Anderson Registered Nurse 3883 Mighty Mite Drive, Fort Worth, TX 76119 2018-08-08
1730699802 Miller Dental Pllc Dentist 3307 Miller Ave Suite #a, Fort Worth, TX 76119 2017-10-03
1053853697 Carla Walter Community Health Worker 4125 Hardeman Ave, Fort Worth, TX 76119 2016-11-14
1710238134 Thuy Vy Phan Physician Assistant 2500 Circle Dr, Fort Worth, TX 76119 2012-09-25
1598031841 Candace Frances Been Podiatrist Federal Bureau of Prisons Federal Medical Center Fort, 3150 Horton Road, Fort Worth, TX 76119 2012-03-30
1053600262 Miller Dental Dentist 3307 Miller Ave Suite A, Fort Worth, TX 76119 2011-03-29
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215559422 Cmac Counseling, Pllc Community/Behavioral Health 2100 N Main St Ste 20b, Fort Worth, TX 76164-8572 2020-05-11
1477191385 Canary Ridge Counseling Pllc Community/Behavioral Health 2501 Parkview Dr Ste 316e, Fort Worth, TX 76102-5824 2019-12-11
1922640010 Abundant Enteprise LLC Community/Behavioral Health 5545 Lawnsberry Dr, Fort Worth, TX 76137-4390 2019-10-10
1790347060 Serenity Professional Counseling, Pllc Community/Behavioral Health 1701 River Run Ste 1020, Fort Worth, TX 76107-6556 2019-07-08
1326512039 Creative Insight Counseling Community/Behavioral Health 3309 Winthrop Ave Ste 76, Fort Worth, TX 76116-5600 2019-01-15
1659882686 A Beautiful Future, LLC Community/Behavioral Health 2721 Bilglade Rd, Fort Worth, TX 76133-1613 2017-10-17
1417480112 Magrin Gifted Hands Services, LLC Community/Behavioral Health 11805 Indian Pony Way, Fort Worth, TX 76244-5298 2017-04-10
1720528524 Tlc Community/Behavioral Health 8425 Hornbeam Dr, Fort Worth, TX 76123-5047 2017-02-28
1306381827 Irma Mireles Community/Behavioral Health 9624 Mariner Cir, Apt 1206, Fort Worth, TX 76179-3210 2016-12-20
1760934145 Cancer Care Services Community/Behavioral Health 623 S Henderson St, Fort Worth, TX 76104-2920 2016-11-01
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Competitor

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City FORT WORTH
Zip Code 76119

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Dataset Information

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.

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