NPIMap

Organization Active NPI

My Health My Resources of Tarrant County

Doing business as MHMR of Tarrant County

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Bedford, TX
National Provider Identifier
1063628923
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
MY HEALTH MY RESOURCES OF TARRANT COUNTY
Doing business as
MHMR of Tarrant County
Practice address
1619 Pipeline Rd E
Bedford, TX 76022-7661
Phone
(817) 569-4396
Fax
(817) 569-4517
NPI assigned
May 15, 2007
Last updated
Aug 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Terri SmithNPI 1922446012
Title
Billing Analyst
Phone
(817) 569-4300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X NU Primary

Addresses

Primary practice location

1619 Pipeline Rd E
Bedford, TX 76022-7661

Mailing address

PO Box 2603
HTN, Client Accounting
Fort Worth, TX 76113-2603
Phone (817) 569-4396

Other identifiers 1

IdentifierTypeStateIssuer
000739501MedicaidTX

Other names 2

  • MHMR of Tarrant County Doing business as
  • Training Residence #6 Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1063628923. Details of each certification follow.

  • CCN 45G932 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 45G932

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
TRAINING RESIDENCE 6
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Apr 13, 1992
Last certification
Dec 19, 2025
Beds
6
Ownership / control type
County
Facility address
1619 Pipeline Road
Bedford, TX 76022

National Provider Directory

National Provider Directory
Tax ID family
MHMR of Tarrant Coun28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

Organizations that report the same tax identification number in the National Provider Directory.

View all 27

Locations

1619 Pipeline Rd E
Bedford, TX 76022

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785888000000",
    "number": "1063628923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2603",
            "address_2": "HTN, CLIENT ACCOUNTING",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761132603",
            "telephone_number": "817-569-4396",
            "fax_number": "817-569-4517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 PIPELINE RD E",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760227661",
            "telephone_number": "817-569-4396",
            "fax_number": "817-569-4517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY HEALTH MY RESOURCES OF TARRANT COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "BILLING ANALYST",
        "authorized_official_telephone_number": "817-569-4300",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000739501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MHMR of Tarrant County",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Training Residence #6",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bedford, TX

Sources for this page

Verify at the official NPI Registry.