HEART OF TEXAS REGION MENTAL HEALTH MENTAL RETARDATION CENTER
NPI 1003906876
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Groesbeck, TX
- Organization
- Community Based Residential Treatment Fa...
- CLIA Number: 45D1073927
- CLIA Cert. Type: Federally Qualified Health Center
- CLIA Exp. Date: 06-23-2026
About HEART OF TEXAS REGION MENTAL HEALTH MENTAL RETARDATION CENTER
This page provides the complete NPI Profile along with additional information for Heart Of Texas Region Mental Health Mental Retardation Center, a provider established in Groesbeck, Texas operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1003906876 assigned on October 2006. The practitioner's primary taxonomy code is 320900000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Mr. Daniel Thompson (Executive Director)
- NPI
- 1003906876 Verify this NPI
- Provider Name
- HEART OF TEXAS REGION MENTAL HEALTH MENTAL RETARDATION CENTER
- Entity Type
- Organization
- Location Address
- 612 PARKSIDE DR GROESBECK, TX 76642
- Location Phone
- (254) 729-8177
- Location Fax
- (254) 729-8176
- Mailing Address
- 110 S 12TH ST P O BOX 890 WACO, TX 76701
- Mailing Phone
- (254) 752-3451
- Mailing Fax
- (254) 752-7421
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-13-2006
- Last Update Date
- 03-05-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Taxonomy Code
- 320900000X
- Type
- Residential Treatment Facilities
- License State
- TX
- Taxonomy Description
- A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000713401 | OTHER (01) | TX | VENDOR # |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 45D1073927
- Facility Type
- Federally Qualified Health Center
- Certificate Effective Date
- June 24, 2024
- Certificate Expiration Date
- June 23, 2026
- Laboratory Director
- FLOYD C. WATSON
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Heart Of Texas Region Mental Health Mental Retardation Center on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003906876, enumerated as an "organization" on October 13, 2006.
The provider is located at 612 PARKSIDE DR GROESBECK, TX 76642 and the phone number is (254) 729-8177.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
