PREDESTINE LIFE MINISTRIES (NPI# 1902961915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902961915 |
| Entity Type | Organization |
| Organization Name | PREDESTINE LIFE MINISTRIES |
| Other Organization Name | 'THE HOUSE OF VALOR' |
| Practice Address |
2725 Saint Paul Rd Venus TX 76084-3516 |
| Mailing Address |
Po Box 182422 Arlington TX 76096-2422 |
| Practice Telephone | 8174770601 |
| Mailing Telephone | 8177239101 |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. ROCHELLE MOORE-WELTON (DIRECTOR-ADMINISTRATOR) |
| Authorized Official Telephone | 8177239101 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | TX | Residential Treatment Facilities | |
| X | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities | ||
| X | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities | ||
| X | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| 'The House Of Valor' | Doing Business As Name - Organization |
| Street Address |
2725 SAINT PAUL RD |
| City | VENUS |
| State | TX |
| Zip Code | 76084-3516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336295617 | Carolyn Byrd Reeves | Dentist | 2725 Saint Paul Rd, Venus, TX 76084-3516 | 2007-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124508197 | Durenda Cooper | Occupational Therapy Assistant | 3265 County Road 617, Venus, TX 76084 | 2018-08-18 |
| 1184004558 | Marques Forbes | Occupational Therapist | 3316 Weyburn Drive, Venus, TX 76084 | 2015-06-01 |
| 1336381144 | Amanda Rigney | Specialist/Technologist | 12 Bulldog Dr, Venus, TX 76084 | 2009-03-26 |
| 1457477325 | Venus Isd | Local Education Agency (LEA) | 401 S Hickory St., Venus, TX 76084 | 2007-03-22 |
| 1841360278 | Gate City Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 2400 Chambers St., Venus, TX 76084 | 2006-11-09 |
| 1528602554 | Synergy 360 LLC | Clinic/Center | 3316 Weyburn Drive, Venus, TX 76084 | 2019-11-02 |
| 1215352000 | Erickson Family Dentistry Pllc | Dentist | 206 S Main St, Venus, TX 76084 | 2014-03-03 |
| 1184951642 | Tmj & Facial Pain Center, Pa & Curtis Imaging Center | Dentist | 6407 Colleyville Blvd, Ste. A, Colleyville, TX 76084 | 2009-11-04 |
| 1275144602 | Synthia Elaina Stewart | Social Worker | 103 Presidents Way, Venus, TX 76084-1113 | 2020-08-10 |
| 1275179152 | Ronald Lamoine Lewis | Counselor | 101 S Locust St, Venus, TX 76084-2100 | 2019-11-26 |
| Find all providers in zip 76084 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 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.