NPIMap

Organization Active NPI

Fathers Rise Together

  • Community/Behavioral Health Agency
  • Seagoville, TX
National Provider Identifier
1114899424
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FATHERS RISE TOGETHER
Practice address
2527 Broken Bow Dr
Seagoville, TX 75159-5515
Phone
(218) 390-9204
NPI assigned
Sep 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Authorized official

Name
Chaquana McEntyre
Title
Executive Director
Phone
(218) 461-1722

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2527 Broken Bow Dr
Seagoville, TX 75159-5515

Mailing address

2527 Broken Bow Dr
Seagoville, TX 75159-5515

National Provider Directory

National Provider Directory
Tax ID family
Fathers Rise Together5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1758153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758758400000",
    "number": "1114899424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2527 BROKEN BOW DR",
            "city": "SEAGOVILLE",
            "state": "TX",
            "postal_code": "751595515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2527 BROKEN BOW DR",
            "city": "SEAGOVILLE",
            "state": "TX",
            "postal_code": "751595515",
            "telephone_number": "218-390-9204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FATHERS RISE TOGETHER",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-18",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A",
        "authorized_official_last_name": "MCENTYRE",
        "authorized_official_first_name": "CHAQUANA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "218-461-1722"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seagoville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; 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.