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Organization Active NPI

My Health My Resources of Tarrant County

Doing business as MHMR of Tarrant County

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Fort Worth, TX
National Provider Identifier
1427266576
Registry record updated Aug 5, 2026
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
Doing business as
MHMR of Tarrant County
Practice address
4833 Diaz Ave
Fort Worth, TX 76107-6131
Phone
(817) 569-4396
Fax
(817) 569-4517
NPI assigned
May 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Authorized official

Name
Mrs. Terri Smith
Title
Billing Analyst
Phone
(817) 569-4300

Specialties & licenses 1

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

Addresses

Primary practice location

4833 Diaz Ave
Fort Worth, TX 76107-6131

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
000381201MedicaidTX

Other names 2

  • MHMR of Tarrant County Doing business as
  • Training Residence #5 Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 45G122

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
TARRANT COUNTY MHMR SERVICES TRAINING RESIDENCE 5
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Jul 28, 1983
Last certification
Dec 12, 2025
Beds
8
Ownership / control type
Private (non-profit)
Facility address
4833 Diaz
Fort Worth, TX 76107

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": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785888000000",
    "number": "1427266576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2603",
            "address_2": "HTN, CLIENT ACCOUNTING",
            "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": "4833 DIAZ AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761076131",
            "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": "2007-05-21",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "BILLING ANALYST",
        "authorized_official_telephone_number": "817-569-4300",
        "authorized_official_name_prefix": "Mrs."
    },
    "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": "000381201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MHMR of Tarrant County",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Training Residence #5",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Training Residence #5",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.