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MILAGRO DISCOVERY HOME AND COMMUNITY HEALTHCARE SERVICE NPI 1487837316


NPI Information

NPI: 1487837316
Provider Name: MILAGRO DISCOVERY HOME AND COMMUNITY HEALTHCARE SERVICE
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
6810 BANDERA RD STE 1
SAN ANTONIO, TX
ZIP 78238
Phone: (210) 446-4706
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MILAGRO DISCOVERY HOME AND COMMUNITY HEALTHCARE SERVICE is a community behavioral health in San Antonio, TX. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. MILAGRO DISCOVERY HOME AND COMMUNITY HEALTHCARE SERVICE NPI is 1487837316. The provider is registered as an organization entity type.

The provider's business location address is:

6810 BANDERA RD STE 1
SAN ANTONIO, TX
ZIP 78238-468
Phone: (210) 446-4706

The provider's authorized official is Carla Evette Thomas .
The authorized official title is Executive Director and has the following contact phone number (210) 815-1385.

The enumeration date for this NPI number is 12/13/2007 and was last updated on 11/19/2015.


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
1261QA0600XClinic/CenterAdult Day Care143171TEXASNo
2251S00000XCommunity/Behavioral HealthYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13498107MEDICAIDTEXAS

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

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