OrganizationActive
Medline Health Services
NPI 1649570706 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Fresno, TX
Provider details
- NPI number
- 1649570706
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Kenneth Ukah, Manager(832) 877-3806
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
- In Home Supportive Care Agency253Z00000X
Agencies
- Community/Behavioral Health Agency251S00000X
Agencies
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4542 Long Creek Dr
Fresno, TX 77545-6064
Phone: (832) 877-3806
Street-level locationGet directions
Mailing address
4542 Long Creek Dr
Fresno, TX 77545-6064
Registry dates
- Enumerated
- 2010-10-23
- Last updated
- 2010-10-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.