NPIMap

Organization Active NPI

Concho Valley Center for Human Advancement

Doing business as MHMR Concho Valley

  • Developmentally Disabled Services Day Training Agency
  • San Angelo, TX
National Provider Identifier
1942404405
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
001010515 Issued in TX
Legal business name
CONCHO VALLEY CENTER FOR HUMAN ADVANCEMENT
Doing business as
MHMR Concho Valley
Practice address
1501 W Beauregard Ave
San Angelo, TX 76901-4004
Phone
(325) 658-7750
Fax
(325) 658-8381
NPI assigned
Jun 11, 2007
Last updated
May 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Authorized official

Name
Alton Todd Baird
Title
It Director/Credentialing
Phone
(325) 658-7750

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Developmentally Disabled Services Day Training Agency 251C00000X 001010515 TX Primary
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

1501 W Beauregard Ave
San Angelo, TX 76901-4004

Mailing address

1501 W Beauregard Ave
San Angelo, TX 76901-4004
Phone (325) 658-7750

Other identifiers 1

IdentifierTypeStateIssuer
001010515MedicaidTX

Other names 1

  • MHMR CONCHO VALLEY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Concho Valley Center for Human Advancement8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1501 W Beauregard Ave
San Angelo, TX 76901
Phone (325) 658-7750

NPI Registry JSON

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777852800000",
    "number": "1942404405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 W BEAUREGARD AVE",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769014004",
            "telephone_number": "325-658-7750",
            "fax_number": "325-658-8381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 W BEAUREGARD AVE",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769014004",
            "telephone_number": "325-658-7750",
            "fax_number": "325-658-8381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCHO VALLEY CENTER FOR HUMAN ADVANCEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A",
        "authorized_official_last_name": "BAIRD",
        "authorized_official_first_name": "ALTON",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "IT DIRECTOR/CREDENTIALING",
        "authorized_official_telephone_number": "325-658-7750"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "TX",
            "license": "001010515",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001010515",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MHMR CONCHO VALLEY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Angelo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; 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.