PROSPECT MOUNTAIN THERAPEUTIC RIDING CENTER NPI 1306072780

NPI Information

NPI: 1306072780
Provider Name: PROSPECT MOUNTAIN THERAPEUTIC RIDING CENTER

Other Name: PMTRC

Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
7471 FM 3094
SCURRY, TX
ZIP 75158
Phone: (469) 595-2019
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PROSPECT MOUNTAIN THERAPEUTIC RIDING CENTER is a community based residential treatment facility, intellectual and/or developmental disabilities in Scurry, 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. PROSPECT MOUNTAIN THERAPEUTIC RIDING CENTER NPI is 1306072780. The provider is registered as an organization entity type.
The provider Other Name Is Pmtrc.

The provider's business location address is:

7471 FM 3094
SCURRY, TX
ZIP 75158-915
Phone: (469) 595-2019
Fax: (972) 452-3331

The provider's authorized official is Theresa Rae Lisenby .
The authorized official title is Instructor, Ceo and has the following contact phone number (469) 595-2019.

The enumeration date for this NPI number is 5/30/2009 and was last updated on 5/30/2009.

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	Primary
1	251C00000X	Day Training, Developmentally Disabled Services	No
2	251S00000X	Community/Behavioral Health	No
3	251V00000X	Voluntary or Charitable	No
4	252Y00000X	Early Intervention Provider Agency	No
5	390200000X	Student in an Organized Health Care Education/Training Program	No
6	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	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: 11/14/2023

NPI Synchronization or Removal

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