CAGER EATON HAYNES NPI 1922779974

NPI Information

NPI: 1922779974
Provider Name: CAGER EATON HAYNES
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Individual
Address:
216 MEADOW RIDGE DR
ANNA, TX
ZIP 75409
Phone: (972) 924-7148
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Cager Eaton Haynes is a community based residential treatment facility, intellectual and/or developmental disabilities in Anna, 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. Cager Eaton Haynes NPI is 1922779974. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

216 MEADOW RIDGE DR
ANNA, TX
ZIP 75409-292
Phone: (972) 924-7148

The enumeration date for this NPI number is 9/21/2021 and was last updated on 9/21/2021.

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	License State	Primary
1	251B00000X	Case Management	TEXAS	No
2	320700000X	Residential Treatment Facility, Physical Disabilities		No
3	320800000X	Community Based Residential Treatment Facility, Mental Illness	TEXAS	No
4	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	TEXAS	Yes

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

NPI Synchronization or Removal

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