PMTRC
NPI 1306072780
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Scurry, TX
- Organization
- Community Based Residential Treatment Fa...
About PMTRC
This page provides the complete NPI Profile along with additional information for Pmtrc, a provider established in Scurry, 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 1306072780 assigned on May 2009. The practitioner's primary taxonomy code is 320900000X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's other name is Pmtrc. The authorized official of this NPI record is Theresa Rae Lisenby Instructor R.n. (Instructor, Ceo)
- NPI
- 1306072780 Verify this NPI
- Provider Legal Name
- PROSPECT MOUNTAIN THERAPEUTIC RIDING CENTER
- Other Organization Name
- PMTRC
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 7471 FM 3094 SCURRY, TX 75158
- Location Phone
- (469) 595-2019
- Location Fax
- (972) 452-3331
- Mailing Address
- 7471 FM 3094 SCURRY, TX 75158
- Mailing Phone
- (469) 595-2019
- Mailing Fax
- (972) 452-3331
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-30-2009
- Last Update Date
- 05-30-2009
- 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
- Taxonomy Description
- A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 251C00000X | Agencies | Day Training, Developmentally Disabled Services | |
| 2 | 251S00000X | Agencies | Community/Behavioral Health | |
| 3 | 251V00000X | Agencies | Voluntary or Charitable | |
| 4 | 252Y00000X | Agencies | Early Intervention Provider Agency | |
| 5 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program |
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
SCURRY, TX 75158
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1306072780, enumerated as an "organization" on May 30, 2009.
The provider is located at 7471 FM 3094 SCURRY, TX 75158 and the phone number is (469) 595-2019.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.
