Tamarack Residential Services in Longview - Intermediate Care Facility, Mental Illness
Tamarack Residential Services - NPI 1457317984
Tamarack Residential Services is a Intermediate Care Facility, Mental Illness in Longview, Texas. Tamarack Residential Services practices all healthcare services and medical treatments related to Intermediate Care Facility, Mental Illness. The NPI Number for Tamarack Residential Services is 1457317984. The last update date is 2020-08-22.
Tamarack Residential Services's current location address is 3730 E Loop Dr, Longview, Texas. You can contact this provider via phone number 9037531979 and fax number 9037537485. The mailing address for Tamarack Residential Services is 3730 E Loop Dr, Longview, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Tamarack Residential Services |
|---|---|
| Address | 3730 E Loop Dr, Longview, Texas |
| Phone Number | 9037531979 |
| Fax Number | 9037537485 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CFO |
|---|---|
| Authorized Official Name | Hawker Mike |
| Telephone Number | 2103407155 |
NPI Number Detail
| NPI Number | 1457317984 |
|---|---|
| Provider Enumeration Date | 2006-04-24 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 3730 E Loop Dr |
|---|---|
| City | Longview |
| State | Texas (TX) |
| Post Code | 756026704 |
| Phone Number | 9037531979 |
| Fax Number | 9037537485 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Mental Illness |
|---|---|
| Taxonomy | 310500000X |
| Licence No | 7429 |
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Definition: A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. |
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What is the unique identification code assigned to Tamarack Residential Services by the Centers for Medicare & Medicaid Services?
The Tamarack Residential Services has been issued the NPI (National Provider Identifier) 1457317984. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Tamarack Residential Services is physically located?
The Tamarack Residential Services is physically situated at the following address: 3730 E Loop Dr, Longview, TX, 756026704.
What is Tamarack Residential Services's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Tamarack Residential Services is Intermediate Care Facility, Mental Illness, and the taxonomy code that classifies this field of practice is 310500000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1457317984 to Tamarack Residential Services?
The Centers for Medicare & Medicaid Services originally issued the 1457317984 to Tamarack Residential Services on 2006-04-24.
As of what date were the Tamarack Residential Services's details last updated?
The information pertaining to the Tamarack Residential Services, including its address, specialty, and other details, was most recently updated on 2020-08-22.