Active NPI
MHS of Texas II, Inc.
- Mental Illness Intermediate Care Facility
- Azle, TX
National Provider Identifier
1356722052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Intermediate Care Facility
- Legal business name
- MHS OF TEXAS II, INC.
- Doing business as
- Mainstream Habilitation Services of Texas
- Practice address
- 301 Commerce St
Azle, TX 76020-2438 - Phone
- (817) 270-2747
- Fax
- (817) 270-1477
- NPI assigned
- Jun 18, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Lisa Ann Henry, MBA
- Title
- Ceo
- Phone
- (972) 978-7946
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Intermediate Care Facility | 310500000X | Primary |
Addresses
Primary practice location
301 Commerce St
Azle, TX 76020-2438
Mailing address
PO Box 1035
Azle, TX 76098-1035
Phone (817) 270-2747
Other names 1
- Mainstream Habilitation Services of Texas
National Provider Directory
National Provider DirectoryLocations
301 Commerce St
Azle, TX 76020
Phone (214) 727-9546
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Licensed Vocational Nurse
- Azle, TX
- NPI 1558976464
-
- Internal Medicine Physician
- Willow Park, TX
- NPI 1669676326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434585600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1434585600000",
"number": "1356722052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1035",
"city": "AZLE",
"state": "TX",
"postal_code": "760981035",
"telephone_number": "817-270-2747",
"fax_number": "817-270-1477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 COMMERCE ST",
"city": "AZLE",
"state": "TX",
"postal_code": "760202438",
"telephone_number": "817-270-2747",
"fax_number": "817-270-1477"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MHS OF TEXAS II, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-18",
"last_updated": "2015-06-18",
"status": "A",
"authorized_official_last_name": "HENRY",
"authorized_official_first_name": "LISA",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "972-978-7946",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MBA"
},
"taxonomies": [
{
"code": "310500000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Mental Illness",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mainstream Habilitation Services of Texas",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Azle, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.