NPIMap

Organization Active NPI

My Health My Resources of Tarrant County

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Fort Worth, TX
National Provider Identifier
1154521474
Registry record updated Sep 1, 2017
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
Practice address
1300 Circle Dr
Fort Worth, TX 76119-8113
Phone
(817) 569-4396
Fax
(817) 569-4517
NPI assigned
Jul 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2017

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

Authorized official

Name
Yolanda Montes
Title
Enrollment Coordinator
Phone
(817) 569-5235

Specialties & licenses 1

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

Addresses

Primary practice location

1300 Circle Dr
Fort Worth, TX 76119-8113

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
001007058MedicaidTX

Other names 1

  • MHMR of Tarrant County Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Tarrant County MHMR28 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

NPI Registry JSON

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504224000000",
    "number": "1154521474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2603",
            "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": "1300 CIRCLE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761198113",
            "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": "2007-07-24",
        "last_updated": "2017-09-01",
        "status": "A",
        "authorized_official_last_name": "MONTES",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "ENROLLMENT COORDINATOR",
        "authorized_official_telephone_number": "817-569-5235"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001007058",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MHMR of Tarrant County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2017; 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.