Organization Active NPI

Methodist Children's Home

  • Foster Care Agency
  • Waco, TX
National Provider Identifier
1083949903
Registry record updated May 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
Legal business name
METHODIST CHILDREN'S HOME
Practice address
1111 Herring Ave
Waco, TX 76708-3642
Phone
(254) 753-0181
Fax
(254) 755-7609
NPI assigned
Oct 9, 2009
Last updated
May 25, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2010

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

Authorized official

Name
Mr. Tim Brown
Title
Interim President
Phone
(254) 753-0181

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU
Psychologist 103T00000X 3571 TX
School Psychologist 103TS0200X 30212 TX
Clinical Social Worker 1041C0700X NU
Registered Nurse 163W00000X NU
Licensed Vocational Nurse 164X00000X NU
Foster Care Agency 253J00000X NU Primary

Addresses

Primary practice location

1111 Herring Ave
Waco, TX 76708-3642

Mailing address

1111 Herring Avenue
Waco, TX 76708-3642
Phone (254) 753-0181

National Provider Directory

National Provider Directory
Tax ID family
Methodist Children's Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1111 Herring Ave
Waco, TX 76708
Phone (254) 750-1271

Practitioners & affiliated clinicians

Practitioners 4

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": "1255046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274745600000",
    "number": "1083949903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 HERRING AVENUE",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767083642",
            "telephone_number": "254-753-0181",
            "fax_number": "254-755-7609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 HERRING AVE",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767083642",
            "telephone_number": "254-753-0181",
            "fax_number": "254-755-7609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METHODIST CHILDREN'S HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-09",
        "last_updated": "2010-05-25",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "INTERIM PRESIDENT",
        "authorized_official_telephone_number": "254-753-0181",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "3571",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "TX",
            "license": "30212",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.