NPIMap

Organization Active NPI

Mission Road Developmental Center

  • Case Management Agency
  • San Antonio, TX
National Provider Identifier
1164595963
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
23297979-991 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 17, 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
Case Management Agency 251B00000X 23297979-991 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": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164595963",
    "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": "2006-11-17",
        "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": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "TX",
            "license": "23297979-991",
            "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.