Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eddie Ellis Junior Hcs

Organization Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI 1932346210

Eddie Ellis Junior Hcs is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Fort Worth, Texas. Registered with an NPI since 2009.

In the registry since
2009

Practice location Address checks out

420 Tierney Rd
Fort Worth, TX 76112-6324
Phone: (817) 534-5480
Fax: (817) 534-4748
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) Taxonomy 320600000X

Record details

NPI number1932346210
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eddie Ellis — Ceo · (817) 534-5480
NPI enumeratedJanuary 8, 2009
Last updated in NPPESJanuary 8, 2009
Mailing address420 Tierney Rd, Fort Worth, TX 76112-6324

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