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WALNUT CREEK
NPI 1174734115
Intermediate Care Facility, Intellectual Disabilities in Mansfield, TX

Active since May 24, 2007
622 S WALNUT CREEK DR, MANSFIELD, TX 76063(817) 477-3930(817) 477-3315 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Walnut Creek NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WALNUT CREEK (NPI 1174734115) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Mansfield, Texas and active in the NPI registry since May 2007. The organization lists Connie Rogers Leemauk, Administrator, as its authorized official.

NPPES Registry Identity

NPI1174734115
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameWALNUT CREEK RESIDENTIAL SERVICES, INC.
Location Address622 S WALNUT CREEK DRMansfield, TX 76063-2132
Mailing Address622 S Walnut Creek DrMansfield, TX 76063-2132 · (817) 477-3930 · Fax (817) 477-3315
Phone(817) 477-3930
Fax(817) 477-3315
Organization SubpartNo
Authorized OfficialConnie Rogers LeemaukAdministrator · (817) 477-3930
Enumeration DateMay 24, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1174734115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
License✔ Licensed in TX · 120445
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
622 S WALNUT CREEK DR, Mansfield, TX 76063
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Other Names 1

Doing Business AsWalnut Creek

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Walnut Creek Residential Services, Inc.'s NPI number?

The NPI number for Walnut Creek Residential Services, Inc. is 1174734115. It was assigned to this organization in the NPPES registry on May 24, 2007. The provider is doing business as Walnut Creek.

Where is Walnut Creek Residential Services, Inc. located?

Walnut Creek Residential Services, Inc. is located at 622 S Walnut Creek Dr, Mansfield, TX 76063. The listed phone number is (817) 477-3930.

What is Walnut Creek Residential Services, Inc.'s specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Walnut Creek Residential Services, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.