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Organization

COMMUNITY INNOVARE INCORPORATED

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PATRICK HOPKINS (EXECUTIVE DIRECTOR)
(704) 412-1554
Entity
Organization

Contact information

Practice address
1361 RIVERSIDE OAKS DR, ROCKWALL, TX 75087-2423
(704) 412-1554
Mailing address
3824 CEDAR SPRINGS RD STE 226, DALLAS, TX 75219-4136
(704) 412-1554

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
251V00000X
Voluntary or Charitable Agency
253J00000X
Foster Care Agency
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
343800000X
Secured Medical Transport (VAN)
343900000X
Non-emergency Medical Transport (VAN)
347C00000X
Private Vehicle

Other

Enumeration date
02/10/2025
Last updated
03/22/2026
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