Breckenridge Village in Tyler - Intermediate Care Facility, Intellectual Disabilities
Breckenridge Village - NPI 1245427947
Breckenridge Village is a Intermediate Care Facility, Intellectual Disabilities in Tyler, Texas. Breckenridge Village practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Breckenridge Village is 1245427947. The last update date is 2019-08-26.
Breckenridge Village's current location address is 15062 County Road 1145, Tyler, Texas. You can contact this provider via phone number 9039568100 and fax number 9035968104. The mailing address for Breckenridge Village is 15062 County Road 1145, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Breckenridge Village |
|---|---|
| Address | 15062 County Road 1145, Tyler, Texas |
| Phone Number | 9039568100 |
| Fax Number | 9035968104 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | King Kevin |
| Telephone Number | 9038968100 |
NPI Number Detail
| NPI Number | 1245427947 |
|---|---|
| Provider Enumeration Date | 2007-09-27 |
| Last Updated Date | 2019-08-26 |
Provider Mailing Address Detail
| Address | 15062 County Road 1145 |
|---|---|
| City | Tyler |
| State | Texas (TX) |
| Post Code | 757047516 |
| Phone Number | 9039568100 |
| Fax Number | 9035968104 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
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What is the Breckenridge Village's unique identification number?
The Breckenridge Village has been assigned the NPI (National Provider Identifier) Number 1245427947 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Breckenridge Village?
The Breckenridge Village is situated at 15062 County Road 1145, in the city of Tyler, state of TX, with the zip code 757047516.
What is Breckenridge Village's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Breckenridge Village is Intermediate Care Facility, Intellectual Disabilities, and the taxonomy code that classifies this field of practice is 315P00000X.
When did the Breckenridge Village receive its 1245427947?
The Breckenridge Village was issued its 1245427947 on 2007-09-27, which is the date when the organization was assigned this unique identifier.
As of what date were the Breckenridge Village's details last updated?
The information pertaining to the Breckenridge Village, including its address, specialty, and other details, was most recently updated on 2019-08-26.
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