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BEVERLY DIANE ELLIS
NPI 1639316912
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Fort Worth, TX

Active since January 08, 2009
420 TIERNEY RD, FORT WORTH, TX 76112(817) 534-5480(817) 534-4748 Get Directions Write a Review

NPPES record last updated: January 8, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Beverly Diane Ellis NPPES

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

BEVERLY DIANE ELLIS (NPI 1639316912) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Fort Worth, Texas and active in the NPI registry since January 2009. The organization lists Beverly Ellis, Ceo, as its authorized official.

NPPES Registry Identity

NPI1639316912
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameBEVERLY DIANE ELLIS
Location Address420 TIERNEY RDFort Worth, TX 76112-6324
Mailing Address420 Tierney RdFort Worth, TX 76112-6324 · (817) 534-5480 · Fax (817) 534-4748
Phone(817) 534-5480
Fax(817) 534-4748
Organization SubpartNo
Authorized OfficialBeverly EllisCeo · (817) 534-5480
Enumeration DateJanuary 8, 2009
✔ NPI 1639316912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Also ListedResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320600000X
420 TIERNEY RD, Fort Worth, TX 76112
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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BLESSED BEGININGS
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
420 TIERNEY RD
FORT WORTH, TX 76112
Tarrant County (817) 534-5480
DORIS GAIL BENJAMIN
Psychologist (Adult Development & Aging)
420 TIERNEY RD
FORT WORTH, TX 76112
Tarrant County (817) 534-5480
EDDIE ELLIS
Psychologist (Adult Development & Aging)
420 TIERNEY RD
FORT WORTH, TX 76112
Tarrant County (817) 534-5480
BEAUTIFUL BEGINNINGS
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
420 TIERNEY RD
FORT WORTH, TX 76112
Tarrant County (817) 534-5480
AWESOME ALWAYS LLC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
420 TIERNEY RD
FORT WORTH, TX 76112
Tarrant County (214) 226-4660
EDDIE ELLIS JUNIOR HCS
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
420 TIERNEY RD
FORT WORTH, TX 76112
Tarrant County (817) 534-5480

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 Beverly Diane Ellis's NPI number?

The NPI number for Beverly Diane Ellis is 1639316912. It was assigned to this organization in the NPPES registry on January 8, 2009.

Where is Beverly Diane Ellis located?

Beverly Diane Ellis is located at 420 Tierney Rd, Fort Worth, TX 76112. The listed phone number is (817) 534-5480.

What is Beverly Diane Ellis's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Beverly Diane Ellis was last updated on January 8, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.