Royal Haven Medical
Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities

Address: 713 Lakeview Dr, Alvarado, TX 76009-2668
Phone: 9038334534

Royal Haven Medical (NPI# 1740895911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1740895911
Entity Type Organization
Organization Name ROYAL HAVEN MEDICAL
Practice Address 713 Lakeview Dr
Alvarado
TX 76009-2668
Practice Telephone 9038334534
Mailing Address 713 Lakeview Dr
Alvarado
TX 76009-2668
Mailing Telephone 9038334534
Authorized Official Name Paidamoyo Wagoneka (OWNER)
Authorized Official Telephone 9038334534
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2020-09-14
Last Update Date 2020-09-14

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 213E00000X Podiatrist Podiatric Medicine & Surgery Service Providers
Yes 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities

Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Notes: [7/1/2003: new]

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Office Location

Street Address 713 LAKEVIEW DR
City ALVARADO
State TX
Zip Code 76009-2668

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598277378 James Eliezer Dechavez Nurse Practitioner 515 E Highway 67, Alvarado, TX 76009 2017-11-01
1194143016 Lifeway Dental Dentist 505 E Hwy 67, Alvarado, TX 76009 2014-03-29
1134555485 Us Drug Mart, Inc. Pharmacy 601 N Parkway Dr, Ste A, Alvarado, TX 76009 2013-09-18
1396095394 Alvarado Family Dentistry Clinic/Center 905 N. Cummings Drive, Alavardo, TX 76009 2012-09-17
1174701924 Alvarado Chiropractic Health & Wellness Chiropractor 805 E Hwy 67, Alvarado, TX 76009 2008-02-04
1154506046 Mobility Orthotics and Prosthetics Durable Medical Equipment & Medical Supplies 5720 Valley St, Suite 1, Alvarado, TX 76009 2008-01-09
1790802387 Alvarado Isd Local Education Agency (LEA) 110 Bill Jackson Dr, Alvarado, TX 76009 2007-03-26
1760573117 Jerry Harold Hidlebaugh Dentist 202 East Weaver St., Alvarado, TX 76009 2006-09-28
1558305391 Nick Gagich Chiropractor 805 E Highway 67, Alvarado, TX 76009 2006-06-15
1386696136 Johnson Diaz Dellosa Family Medicine 515 East Highway 67, Alvarado, TX 76009 2006-05-17
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Competitor

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City ALVARADO
Zip Code 76009

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.