FULSHEAR RANCH ACADEMY (NPI# 1952547168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952547168 |
| Entity Type | Organization |
| Organization Name | FULSHEAR RANCH ACADEMY |
| Practice Address |
10514 Oberrender Rd Needville TX 77461-5700 |
| Mailing Address |
Po Box 1377 Needville TX 77461-1377 |
| Practice Telephone | 8666613984 |
| Practice Fax Number | 9797933034 |
| Mailing Telephone | 8666613984 |
| Mailing Fax Number | 9797933034 |
| Enumeration Date | 2008-12-18 |
| Last Update Date | 2008-12-18 |
| Authorized Official Name | MR. VAL H CHRISTENSEN (CHAIRMAN) |
| Authorized Official Telephone | 8014235298 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities | ||
| N | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
Residential Treatment Facilities | ||
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| Street Address |
10514 OBERRENDER RD |
| City | NEEDVILLE |
| State | TX |
| Zip Code | 77461-5700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669616447 | Donald T Cooper | Counselor | 10514 Oberrender Rd, Needville, TX 77461-5700 | 2009-04-24 |
| 1164665303 | Solacium Fulshear LLC | Psychiatric Residential Treatment Facility | 10514 Oberrender Rd, Needville, TX 77461-5700 | 2009-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538695218 | Janees Caregivers | Home Health | 8708 West 1st Street, Needville, TX 77461 | 2017-05-02 |
| 1558747550 | Kimberly Ullmann | Community Health Worker | 8611 Main Street, Needville, TX 77461 | 2015-08-03 |
| 1700930633 | Custom Rehab of South Texas, Inc. | Durable Medical Equipment & Medical Supplies | 12907 Highway 36, Needville, TX 77461 | 2007-01-22 |
| 1912057225 | South Texas Medical Clinics, P.a. | General Practice | 3006 School St., Needville, TX 77461 | 2007-01-11 |
| 1669569166 | Road Runner Ems | Ambulance | 14930 Dipple Lehman, Needville, TX 77461 | 2006-10-06 |
| 1790890994 | Lifechek Rosenberg LLC | Pharmacy | 13500 Hwy 36, Needville, TX 77461 | 2006-08-20 |
| 1629690896 | Kyla Celeste Mittanck | Pharmacist | 13500 Hwy 36, Needville, TX 77461 | 2020-05-11 |
| 1881192185 | Pharm House Needville, LLC. | Pharmacy | 13500 Hwy 36, Needville, TX 77461 | 2018-02-01 |
| 1154618866 | Daniel Raymond Matthiesen | Technician, Other | 12907 Highway 36, Needville, TX 77461 | 2011-07-01 |
| 1215030200 | Obence Perez | Home Health | 3119 School Road, Needville, TX 77461-0414 | 2006-09-06 |
| Find all providers in zip 77461 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538778410 | Inspired Community Living | Community Based Residential Treatment Facility, Mental Illness | 1108 Millspaugh St, San Angelo, TX 76901-2342 | 2020-07-27 |
| 1265058143 | Bam House | Community Based Residential Treatment Facility, Mental Illness | 9710 Military Pkwy Apt 136, Dallas, TX 75227-4801 | 2020-06-17 |
| 1699394320 | Thaddeus Gibson | Community Based Residential Treatment Facility, Mental Illness | 15638 Western Skies Dr, Houston, TX 77086-1169 | 2020-04-13 |
| 1346875705 | Grace Caring Angels Inc. | Community Based Residential Treatment Facility, Mental Illness | 11515 Chariot Dr, Stafford, TX 77477-1214 | 2020-03-05 |
| 1992340541 | Abegail Human Services | Community Based Residential Treatment Facility, Mental Illness | 230 Hackney Dr, Waxahachie, TX 75165-1202 | 2019-11-07 |
| 1073098075 | Expert Living Services Inc | Community Based Residential Treatment Facility, Mental Illness | 17014 Blue Mist Dr, Sugar Land, TX 77498-1957 | 2018-09-26 |
| 1760961734 | Sharion Lenese White | Community Based Residential Treatment Facility, Mental Illness | 12514 Berry Laurel Lane, Houston, TX 77014 | 2018-08-10 |
| 1356837934 | X'zavier O Payne | Community Based Residential Treatment Facility, Mental Illness | 420 N State Highway 360 Apt 2214, Mansfield, TX 76063-8716 | 2018-07-06 |
| 1972003192 | Ateam & Associates, LLC | Community Based Residential Treatment Facility, Mental Illness | 7 Supiro Dr, Manvel, TX 77578-3378 | 2018-02-14 |
| 1891234134 | Graceland Personal Care Homes, Inc | Community Based Residential Treatment Facility, Mental Illness | 2625 County Road 302, Carthage, TX 75633-4103 | 2017-02-20 |
| 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.