Organization Active NPI

Milestone Geriatric Day Care, Inc

Doing business as Milestone Behavior Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fort Worth, TX
National Provider Identifier
1184671752
Registry record updated Nov 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MILESTONE GERIATRIC DAY CARE, INC
Doing business as
Milestone Behavior Health Center
Practice address
2516 Oakland Blvd
Suite 3
Fort Worth, TX 76103-3203
Phone
(817) 429-2290
Fax
(817) 451-8114
NPI assigned
May 28, 2006
Last updated
Nov 2, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2007

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

Authorized official

Name
Miss Audrey Lueel Irving, N/A
Title
Director
Phone
(817) 429-2290

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

2516 Oakland Blvd
Suite 3
Fort Worth, TX 76103-3203

Mailing address

2516 Oakland Blvd
Suite 3
Fort Worth, TX 76103-3203
Phone (817) 429-2290

Other names 1

  • Milestone Behavior Health Center Doing business as

National Provider Directory

National Provider Directory

Locations

622 N Main St
Cleburne, TX 76033
Phone (817) 517-7557

Practitioners & affiliated clinicians

Practitioners 3

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": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193961600000",
    "number": "1184671752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2516 OAKLAND BLVD",
            "address_2": "SUITE 3",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761033203",
            "telephone_number": "817-429-2290",
            "fax_number": "817-451-8114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2516 OAKLAND BLVD",
            "address_2": "SUITE 3",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761033203",
            "telephone_number": "817-429-2290",
            "fax_number": "817-451-8114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILESTONE GERIATRIC DAY CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2007-11-02",
        "status": "A",
        "authorized_official_last_name": "IRVING",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_middle_name": "LUEEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "817-429-2290",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "N/A"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Milestone Behavior Health Center",
            "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 Nov 2, 2007; 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.