EDDIE ELLIS JUNIOR HCS – Intellectual and/or Developmental Disabilities Residential Treatment Facility, NPI 1932346210

EDDIE ELLIS JUNIOR HCS is a healthcare provider. based in Fort worth, Texas. specializing in Intellectual and/or Developmental Disabilities Residential Treatment Facility. The NPI Number for EDDIE ELLIS JUNIOR HCS is 1932346210

Main info

Organization
Name
EDDIE ELLIS JUNIOR HCS
NPI
1932346210
Phone
(817) 534-5480
Address
420 TIERNEY RD
Authorized Official
EDDIE ELLIS CEO
Enumeration Date
8 January 2009
Last Update Date
8 January 2009
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:17State licenses:0Digital endpointsOther names

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Provider Addresses for EDDIE ELLIS JUNIOR HCS

  • 420, Tierney Road, Fort Worth, Tarrant County, Texas, 76112, United States

    FORT WORTH, TX 761126324

    Phone: (817) 534-5480

    Fax: (817) 534-4748

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 76112)

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Reviews

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Frequently asked questions

Can I verify EDDIE ELLIS JUNIOR HCS with an NPI only?
You can start verification with NPI 1932346210 for EDDIE ELLIS JUNIOR HCS, then check state licensing separately.
Is EDDIE ELLIS JUNIOR HCS listed as active for patients and plans?
The listing shows EDDIE ELLIS JUNIOR HCS as active in the NPI system.
What taxonomy line describes EDDIE ELLIS JUNIOR HCS?
For research purposes, treat EDDIE ELLIS JUNIOR HCS as Intellectual and/or Developmental Disabilities Residential Treatment Facility in this dataset. Clinical services aligned with this taxonomy classification.
Where is EDDIE ELLIS JUNIOR HCS based?
EDDIE ELLIS JUNIOR HCS is tied to Fort Worth, Texas in the data we show; additional addresses may exist on the full record.
What does 'Organization' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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