EDDIE ELLIS JUNIOR HCS
NPI 1932346210
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Fort Worth, TX

Q: What is Eddie Ellis Junior Hcs's NPI number?

The NPI number for Eddie Ellis Junior Hcs is 1932346210. It was assigned to this organization in the NPPES registry on January 8, 2009.

Q: What is Eddie Ellis Junior Hcs's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

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 02, 2026.

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About Eddie Ellis Junior Hcs NPPES

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

EDDIE ELLIS JUNIOR HCS (NPI 1932346210) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Fort Worth, Texas and active in the NPI registry since January 2009. The organization lists Eddie Ellis, Ceo, as its authorized official.

NPPES Registry Identity

NPI1932346210

Entity TypeOrganization

Primary Taxonomy320600000X

Legal Business NameEDDIE ELLIS JUNIOR HCS

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 OfficialEddie EllisCeo · (817) 534-5480

Enumeration DateJanuary 8, 2009

✔ NPI 1932346210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320600000X

Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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