HEART OF TEXAS REGION MENTAL HEALTH MENTAL RETARDATION CENTER NPI 1003906876

NPI Information

  • NPI: 1003906876
  • Provider Name: HEART OF TEXAS REGION MENTAL HEALTH MENTAL RETARDATION CENTER
  • Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
  • Entity Type: Organization
  • CLIA Number: 45D1073927
  • Address: 612 PARKSIDE DR
    GROESBECK, TX
    ZIP 76642
  • Phone: (254) 729-8177

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NPI Details

HEART OF TEXAS REGION MENTAL HEALTH MENTAL RETARDATION CENTER is a community based residential treatment facility, intellectual and/or developmental disabilities in Groesbeck, 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. HEART OF TEXAS REGION MENTAL HEALTH MENTAL RETARDATION CENTER NPI is 1003906876. The provider is registered as an organization entity type.

The provider's business location address is:

612 PARKSIDE DR
GROESBECK, TX
ZIP 76642-125
Phone: (254) 729-8177
Fax: (254) 729-8176

The provider's authorized official is Daniel Thompson .
The authorized official title is Executive Director and has the following contact phone number (254) 752-3451.

The CLIA number assigned to this NPI record is 45D1073927 - federally qualified health center with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 10/13/2006 and was last updated on 3/5/2020.

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
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesTEXASYes

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
1000713401OTHERTEXASVENDOR #

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: 3/30/2025

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