Provider Type Icon

MISSION ROAD DEVELOPMENTAL CENTER NPI 1538532429


NPI Information

NPI: 1538532429
Provider Name: MISSION ROAD DEVELOPMENTAL CENTER
Classification: Home Health - 251E00000X
Entity Type: Organization

CLIA Number: 45D0983118

Address:
8706 MISSION RD
SAN ANTONIO, TX
ZIP 78214
Phone: (210) 924-9265
Get Directions

MISSION ROAD DEVELOPMENTAL CENTER is a home health in San Antonio, TX. The provider is a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. MISSION ROAD DEVELOPMENTAL CENTER NPI is 1538532429. The provider is registered as an organization entity type.

The provider's business location address is:

8706 MISSION RD
SAN ANTONIO, TX
ZIP 78214-140
Phone: (210) 924-9265
Fax: (210) 922-6006

The provider's authorized official is Lora S. Butler .
The authorized official title is Executive Director and has the following contact phone number (210) 334-2437.

The CLIA number assigned to this NPI record is 45D0983118 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/2/2015 and was last updated on 11/23/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living Facility123357TEXASNo
2310400000XAssisted Living Facility123265TEXASNo
3310400000XAssisted Living Facility117405TEXASNo
4310400000XAssisted Living Facility117406TEXASNo
5251E00000XHome Health016040TEXASYes

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: 4/28/2024

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.