Organization · Type 2 NPI

St. Giles Living Centers, Inc.

Intellectual Disabilities Intermediate Care Facility · Tyler, TX

NPI number 1124629175 Active

Practice location

2616 Pounds Ave
Tyler, TX 75701-5627

Call (800) 299-5161 Map

Fax (817) 447-3033

Mailing address

4150 International Plz Ste 820
Fort Worth, TX 76109-4836

Specialties and licenses

Taxonomy	Code	License
Intellectual Disabilities Intermediate Care Facility Primary	315P00000X	None listed

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

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NPI record

NPI: 1124629175
Entity type: Organization (Type 2)
Issued: Nov 5, 2020
Last updated: May 12, 2025
Status: Active
Subpart: Yes of St. Giles Living Centers, Inc.

Other names

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2616 Pounds Avenue · doing business as
2616 Pounds Avenue · doing business as

Authorized official

Brandi Turner
Licensing Coordinator
(682) 707-2756

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1124629175

St. Giles Living Centers, Inc.'s National Provider Identifier is 1124629175, issued on Nov 5, 2020. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Tyler, TX. The record was last updated on May 12, 2025.