GULF BEND MRMR CENTER HCS PROGRAM
NPI 1285668541
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Victoria, TX

NPI Status: Active since July 10, 2006

Contact Information

6502 NURSERY DR
SUITE 100
VICTORIA, TX
ZIP 77904
Phone: (361) 575-0611
Fax: (361) 582-2323

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About GULF BEND MRMR CENTER HCS PROGRAM

This page provides the complete NPI Profile along with additional information for Gulf Bend Mrmr Center Hcs Program, a provider established in Victoria, Texas operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1285668541 assigned on July 2006. The practitioner's primary taxonomy code is 320900000X. The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Donald L Polzin (Executive Direcotr)

NPI
1285668541
Provider Name
GULF BEND MRMR CENTER HCS PROGRAM
Entity Type
Organization
Location Address
6502 NURSERY DR SUITE 100 VICTORIA, TX 77904
Location Phone
(361) 575-0611
Location Fax
(361) 582-2323
Mailing Address
6502 NURSERY DR. SUITE 100 VICTORIA, TX 77904
Mailing Phone
(361) 575-0611
Mailing Fax
(361) 582-2323
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-10-2006
Last Update Date
08-28-2009
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320900000X
Type
Residential Treatment Facilities
Taxonomy Description
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DONALD L POLZIN

Authorized Official Title
EXECUTIVE DIRECOTR
Authorized Official Phone
(361) 575-0611

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
001007430OTHER (01)TXCONTRACT NUMBER

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1285668541
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221651261658
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 1 + 2 + 6 + 1 + 6 + 5 + 8 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1285668541 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 17 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1699759886DR. JAMES F DOTTER M.D.
Individual
Psychiatry & Neurology (Psychiatry)6502 NURSERY DR SUITE 100
VICTORIA, TX 77904
(361) 575-0611
1235113887 WILLIAM TERRY KUESTER M.A.,LPC
Individual
Counselor (Professional)6502 NURSERY DR SUITE 100
VICTORIA, TX 77904
(361) 575-0611
1720057904GULF BEND MHMR CENTER
Organization
Case Management6502 NURSERY DR SUITE100
VICTORIA, TX 77904
(361) 575-0611
1326017518GULF BEND MHMR CENTER
Organization
Rehabilitation Counselor6502 NURSERY DR SUITE 100
VICTORIA, TX 77904
(361) 575-0611
1912976101GULF BEND MHMR CENTER
Organization
Counselor (Mental Health)6502 NURSERY DR SUITE 100
VICTORIA, TX 77904
(361) 575-0611
1346219516GULF BEND MHMR CENTER
Organization
Case Manager/Care Coordinator6502 NURSERY DR SUITE 100
VICTORIA, TX 77904
(361) 575-0611
1770888596 DANIEL RODRIGUEZ LPC
Individual
Counselor (Professional)6502 NURSERY DR SUITE 100
VICTORIA, TX 77904
(361) 575-0611
1043591464 TRACY DAWN CHASE LPC
Individual
Counselor (Professional)6502 NURSERY DR SUITE 100
VICTORIA, TX 77904
(361) 575-0611
1932445855MS. MARILYN JOYCE SWANNACK LPC
Individual
Counselor (Professional)6502 NURSERY DR SUITE 100
VICTORIA, TX 77904
(361) 575-0611
1457790057 SHERRYL K SANDERS LPC
Individual
Counselor (Professional)6502 NURSERY DR SUITE 100
VICTORIA, TX 77904
(361) 575-0611
1144774860 KAREN KENNEMER
Individual
Community/Behavioral Health6502 NURSERY DR
VICTORIA, TX 77904
(361) 482-0427
1154901429 STEPHANIE D MCGILL LPC
Individual
Counselor (Professional)6502 NURSERY DR SUITE 100
VICTORIA, TX 77904
(361) 575-0611
1356482996ROGERS PHARMACY #4
Organization
Pharmacy (Community/Retail Pharmacy)6502 NURSERY DR SUITE 102
VICTORIA, TX 77904
(361) 572-0226
1568247393 STACIE LINAE BORCHERT
Individual
Counselor (Addiction (Substance Use Disorder))6502 NURSERY DR
VICTORIA, TX 77904
(254) 681-6161
1467648865CRAIG G. CHANG, M.D., P.A.
Organization
Surgery6502 NURSERY DR SUITE 300
VICTORIA, TX 77904
(361) 570-8585
1306802814 CRAIG GE-SHENG CHANG M.D.
Individual
Surgery6502 NURSERY DR SUITE 300
VICTORIA, TX 77904
(361) 570-8585
1467434399GULF BEND MENTAL HEALTH MENTAL RETARDATION CENTER
Organization
Counselor (Professional)6502 NURSERY DR SUITE 100
VICTORIA, TX 77904
(361) 575-0611

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285668541, enumerated in the NPI registry as an "organization" on July 10, 2006

The provider is located at 6502 Nursery Dr Suite 100 Victoria, Tx 77904 and the phone number is (361) 575-0611

This medical organization specializes in Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on July 10, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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