CENTRIA HEALTHCARE (NPI# 1881046217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | ========= | TX | Agencies |
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 |
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 |
Street Address |
3813 CLOTELL DR |
City | FORT WORTH |
State | TX |
Zip Code | 76119-7742 |
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 |
Find all providers in zip 76119 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
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] |
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 |
Find all providers in FORT WORTH |
City | FORT WORTH |
Zip Code | 76119 |
Please comment or provide details below to improve the information on CENTRIA HEALTHCARE.
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.