Organization · Type 2 NPI

Health and Human Services Commission

Intellectual Disabilities Intermediate Care Facility · Carlsbad, TX

NPI number 1346333945 Active

Practice location

11640 US Highway 87 N
Carlsbad, TX 76934-7000

Call (325) 465-4391 Map

Fax (325) 465-2878

Mailing address

PO Box 38
Carlsbad, TX 76934-0038

Specialties and licenses

Taxonomy	Code	License
Neuromusculoskeletal Medicine & OMM Physician	204D00000X	None listed
Family Medicine Physician	207Q00000X	None listed
Internal Medicine Physician	207R00000X	None listed
Ophthalmology Physician	207W00000X	None listed
Psychiatry Physician	2084P0800X	None listed
Intellectual Disabilities Intermediate Care Facility Primary	315P00000X	None listed
Clinical Nurse Specialist	364S00000X	None listed

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

8 other providers at this address

NPI record

NPI: 1346333945
Entity type: Organization (Type 2)
Issued: Oct 2, 2006
Last updated: Feb 5, 2018
Status: Active

Other names

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San Angelo State Supported Living Center · other name
San Angelo State Supported Living Center · other name

Authorized official

Scott Schalchlin
Associate Commissioner
(512) 438-3076

Verify this record

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 1346333945

Health and Human Services Commission's National Provider Identifier is 1346333945, issued on Oct 2, 2006. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Carlsbad, TX. The record was last updated on Feb 5, 2018.