TRI-COUNTY BEHAVIORAL HEALTHCARE (NPI# 1891711164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891711164 |
| Entity Type | Organization |
| Organization Name | TRI-COUNTY BEHAVIORAL HEALTHCARE |
| Other Organization Name | PATRICIA STREET HOUSE |
| Practice Address |
104 Patricia Ln Conroe TX 77301-5138 |
| Mailing Address |
Po Box 3067 Conroe TX 77305-3067 |
| Practice Telephone | 9365216100 |
| Mailing Telephone | 9365216100 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2015-04-27 |
| Authorized Official Name | BEVERLY A STANDLEY (REIMBURSEMENT MANAGER) |
| Authorized Official Telephone | 9365216100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 000390501 | 05 |
| Other Name | Type Code |
|---|---|
| Patricia Street House | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932219821 | Tri-county Behavioral Healthcare | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 610 E Loop 336 North, Conroe, TX 77301 | 2006-08-30 |
| 1508887241 | Tri-county Behavioral Healthcare | Intermediate Care Facility, Mentally Retarded | 1420 Holly St, Liberty, TX 77575-3118 | 2006-07-21 |
| 1982623732 | Tri-county Behavioral Healthcare | Intermediate Care Facility, Mentally Retarded | 802 Lee Ave, Cleveland, TX 77327-5127 | 2006-07-19 |
| 1982620266 | Tri-county Behavioral Healthcare | Intermediate Care Facility, Mentally Retarded | 201 Avenue B, Liberty, TX 77575-9563 | 2006-07-13 |
| 1851316145 | Tri-county Behavioral Healthcare | Intermediate Care Facility, Mentally Retarded | 2223 N Thompson St, Conroe, TX 77303-1727 | 2006-07-13 |
| 1841215175 | Tri-county Behavioral Healthcare | Intermediate Care Facility, Mentally Retarded | 28902 Enchanted Dr, Spring, TX 77381-1105 | 2006-07-13 |
| 1861418147 | Tri-county Behavioral Healthcare | Intermediate Care Facility, Mentally Retarded | 63 State Highway 75 N, Huntsville, TX 77320-3863 | 2006-07-13 |
| 1114943453 | Tri-county Behavioral Healthcare | Intermediate Care Facility, Mentally Retarded | 206 Charles Barker Ave, Cleveland, TX 77327-4711 | 2006-07-13 |
| 1851333074 | Tri-county Behavioral Healthcare | Clinic/Center | 233 Sgt Ed Holcomb Blvd S, Conroe, TX 77304-1990 | 2006-06-12 |
| 1750337465 | Tri-county Behavioral Healthcare | Clinic/Center | 1506 Fm 2854 Rd, Conroe, TX 77304-2206 | 2006-05-25 |
| Street Address |
104 PATRICIA LN |
| City | CONROE |
| State | TX |
| Zip Code | 77301-5138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083137814 | D&s Residential Services, Lp | Intermediate Care Facility, Mentally Retarded | 104 Patricia Ln, Conroe, TX 77301-5138 | 2017-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023669116 | Lois Talford | Technician | 907 Bellshire Dr. Apt 101, Conroe, TX 77301 | 2019-09-20 |
| 1033694187 | Rgt Dental Care | Dentist | 402 Simonton St. Suite 100, Conroe, TX 77301 | 2018-09-25 |
| 1942782396 | Traci Hines | Counselor | 1427 Apple Orchard Trail, Conroe, TX 77301 | 2018-09-02 |
| 1124507314 | Katie Marie Sandoval | Licensed Vocational Nurse | 602 W Semans St, Conroe, TX 77301 | 2018-08-09 |
| 1811475841 | Ihuoma Chinagorom Enyidede | Licensed Vocational Nurse | 602 W Semands Street, Conroe, TX 77301 | 2018-08-01 |
| 1336626779 | Nancy Mbongeh Ndamukong | Registered Nurse | 202 West Semands Street, Conroe, TX 77301 | 2018-07-27 |
| 1780172585 | Ingeborg Christina Meek | Registered Nurse | 6020 W. Semands Street, Conroe, TX 77301 | 2018-04-26 |
| 1902342926 | Gloria E Kessler | Counselor | 1101 N Thompson St, Conroe, TX 77301 | 2017-01-14 |
| 1770945412 | Standing Oak Homehealthcare LLC | Hospice Care, Community Based | 926 Fife, Conroe, TX 77301 | 2016-03-22 |
| 1316327117 | Ayaba Guiste | Dentist | 1154, 1002 N Loop 336 W, Conroe, TX 77301 | 2015-06-05 |
| Find all providers in zip 77301 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851316145 | Tri-county Behavioral Healthcare | Intermediate Care Facility, Mentally Retarded | 2223 N Thompson St, Conroe, TX 77303-1727 | 2006-07-13 |
| 1518480342 | D&s Residential Services, Lp | Intermediate Care Facility, Mentally Retarded | 2223 N Thompson St, Conroe, TX 77303-1727 | 2017-07-24 |
| 1083137814 | D&s Residential Services, Lp | Intermediate Care Facility, Mentally Retarded | 104 Patricia Ln, Conroe, TX 77301-5138 | 2017-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639271 | St. Giles Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 3323 Gail Ln, Tyler, TX 75701-7425 | 2020-11-05 |
| 1952902900 | St. Giles Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 2500 Terry Pl, Greenville, TX 75402-7131 | 2020-11-05 |
| 1811598865 | St. Giles Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 100 Patti J St, Greenville, TX 75402-8053 | 2020-11-05 |
| 1124629175 | St. Giles Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 2616 Pounds Ave, Tyler, TX 75701-5627 | 2020-11-05 |
| 1568063527 | St. Giles Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 2525 Preston Ave, Tyler, TX 75701-4644 | 2020-11-05 |
| 1104427509 | St. Giles Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 2812 Shaffer Ln, Tyler, TX 75702-1653 | 2020-11-03 |
| 1265033658 | St. Giles Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 3506 Garber Cir, Greenville, TX 75402-6234 | 2020-11-03 |
| 1487255873 | St. Giles Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 3600 New Copeland Rd, Tyler, TX 75701-8839 | 2020-11-03 |
| 1306446000 | Daybreak, Inc. | Intermediate Care Facility, Mentally Retarded | 6520 Braddock Pl, Dallas, TX 75232-2902 | 2020-10-30 |
| 1578179750 | Keondra C Johnson | Intermediate Care Facility, Mentally Retarded | 2140 Medical District Dr Apt 2052, Dallas, TX 75235-8097 | 2020-09-22 |
| Find all providers with the same taxonomy | ||||
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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.