NPIMap

Organization Active NPI

Mission Road Developmental Center

  • Supports Brokerage Agency
  • San Antonio, TX
National Provider Identifier
1154497444
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Supports Brokerage AgencyTaxonomy code 251X00000X
License
006018 Issued in TX
Legal business name
MISSION ROAD DEVELOPMENTAL CENTER
Practice address
8706 Mission Rd
San Antonio, TX 78214-3140
Phone
(210) 924-9265
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Lora Butler
Title
Executive Director
Phone
(210) 334-2437

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Supports Brokerage Agency 251X00000X 006018 TX Primary

Addresses

Primary practice location

8706 Mission Rd
San Antonio, TX 78214-3140

Mailing address

8706 Mission Rd
San Antonio, TX 78214-3140
Phone (210) 924-9265

National Provider Directory

National Provider Directory
Tax ID family
Mission Road Developmental Center12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154497444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8706 MISSION RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782143140",
            "telephone_number": "210-924-9265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8706 MISSION RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782143140",
            "telephone_number": "210-924-9265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION ROAD DEVELOPMENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "LORA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "210-334-2437"
    },
    "taxonomies": [
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": "TX",
            "license": "006018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.