Texarkana Resources for the Disabled, Inc.

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

TEXARKANA RESOURCES FOR THE DISABLED, INC.

Practice address

3015 E 19TH St
Texarkana, AR 71854-4831

Phone

(870) 774-9675

Fax

(870) 773-0578

NPI assigned

Mar 9, 2007

Organization subpart

No

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

Authorized official

Name

Shannon A. West

Title

Cfo

Phone

(870) 774-9675

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674172800000",
    "number": "1508998261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755040019",
            "telephone_number": "870-774-9675",
            "fax_number": "870-773-0578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 E 19TH ST",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718544831",
            "telephone_number": "870-774-9675",
            "fax_number": "870-773-0578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXARKANA RESOURCES FOR THE DISABLED, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "870-774-9675"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "AR",
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132807724",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Texarkana Group, P.L.L.C
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• Texarkana Nutrition Consultants
• Texarkana Pain Surgery Center LLC
• Texarkana Psychiatric Services, PLLC
• Texarkana SNF Operations LLC
• John W. Thane, DDS
• The Dream Lab
• Mylisa Thiels, M.S., CCC-SLP
• Kaylie Thomas

• Developmentally Disabled Services Day Training Agency in Texarkana, AR
• Providers in Texarkana, AR by specialty
• Developmentally Disabled Services Day Training Agency in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; 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.