MY HEALTH MY RESOURCES OF TARRANT COUNTY NPI 1487862538

NPI Information

NPI: 1487862538
Provider Name: MY HEALTH MY RESOURCES OF TARRANT COUNTY

Other Name: TRAINING RESIDENCE #7

Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
6312 KINGSWOOD DR
FORT WORTH, TX
ZIP 76133
Phone: (817) 569-4396
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MY HEALTH MY RESOURCES OF TARRANT COUNTY is a community based residential treatment facility, intellectual and/or developmental disabilities in Fort Worth, 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. MY HEALTH MY RESOURCES OF TARRANT COUNTY NPI is 1487862538. The provider is registered as an organization entity type.
The provider Other Name Is Training Residence #7.

The provider's business location address is:

6312 KINGSWOOD DR
FORT WORTH, TX
ZIP 76133-518
Phone: (817) 569-4396
Fax: (817) 569-4517

The provider's authorized official is Yolanda Montes .
The authorized official title is Enrollment Coordinator and has the following contact phone number (817) 569-5235.

The enumeration date for this NPI number is 5/21/2007 and was last updated on 8/18/2021.

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	Taxonomy Specialization	License Number	License State	Primary
1	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities				Yes

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
1	000737001	MEDICAID	TEXAS

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

NPI Synchronization or Removal

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