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MCKINNEY DIRECT CARE SERVICES LLC NPI 1154782662


NPI Information

NPI: 1154782662
Provider Name: MCKINNEY DIRECT CARE SERVICES LLC
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
1871 HARROUN AVE STE 100
MCKINNEY, TX
ZIP 75069
Phone: (214) 856-5552
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MCKINNEY DIRECT CARE SERVICES LLC is a community based residential treatment facility, intellectual and/or developmental disabilities in Mckinney, TX. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. MCKINNEY DIRECT CARE SERVICES LLC NPI is 1154782662. The provider is registered as an organization entity type.

The provider's business location address is:

1871 HARROUN AVE STE 100
MCKINNEY, TX
ZIP 75069-469
Phone: (214) 856-5552
Fax: (903) 200-0271

The provider's authorized official is Evelyn Johnson .
The authorized official title is Ceo and has the following contact phone number (214) 856-5552.

The enumeration date for this NPI number is 3/10/2016 and was last updated on 4/3/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251B00000XCase ManagementNo
2251C00000XDay Training, Developmentally Disabled ServicesNo
3320700000XResidential Treatment Facility, Physical DisabilitiesNo
4320800000XCommunity Based Residential Treatment Facility, Mental IllnessNo
5320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11154782662MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.