NPIMap

Organization Active NPI

My Health My Resources of Tarrant County

  • Case Management Agency
  • Fort Worth, TX
National Provider Identifier
1932308947
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
MY HEALTH MY RESOURCES OF TARRANT COUNTY
Practice address
1300 Circle Dr
Fort Worth, TX 76119-8113
Phone
(817) 569-4396
Fax
(817) 569-4517
NPI assigned
Jul 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Authorized official

Name
Yolanda Montes
Title
Enrollment Coordinator
Phone
(817) 569-5235

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

1300 Circle Dr
Fort Worth, TX 76119-8113

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
001014518MedicaidTX

Other names 2

  • MHMR of Tarrant County Doing business as
  • MHMRTC TARRANT CLASS CONTRACT Other name

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": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629244800000",
    "number": "1932308947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2603",
            "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": "1300 CIRCLE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761198113",
            "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": "2007-07-11",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A",
        "authorized_official_last_name": "MONTES",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "ENROLLMENT COORDINATOR",
        "authorized_official_telephone_number": "817-569-5235"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001014518",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MHMR of Tarrant County",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MHMRTC TARRANT CLASS CONTRACT",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "MHMRTC TARRANT CLASS CONTRACT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 18, 2021; 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.