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HEALTH AND HUMAN SERVICES COMMISSION NPI 1679652440


NPI Information

NPI: 1679652440
Provider Name: HEALTH AND HUMAN SERVICES COMMISSION

Other Name: EL PASO STATE SUPPORTED LIVING CENTER

Classification: Intermediate Care Facility, Mentally Retarded - 315P00000X
Entity Type: Organization

CLIA Number: 45D1105243

Address:
6700 DELTA DR
EL PASO, TX
ZIP 79905
Phone: (915) 782-6300
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HEALTH AND HUMAN SERVICES COMMISSION is an intermediate care facility mentally retarded in El Paso, TX. The provider is (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. HEALTH AND HUMAN SERVICES COMMISSION NPI is 1679652440. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is El Paso State Supported Living Center.

The provider's business location address is:

6700 DELTA DR
EL PASO, TX
ZIP 79905-506
Phone: (915) 782-6300
Fax: (915) 782-6316

The provider's authorized official is Scott Schalchlin .
The authorized official title is Associate Commissioner and has the following contact phone number (512) 438-3076.

The CLIA number assigned to this NPI record is 45D1105243 - intermediate care facility/individuals with intellectual disability with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/3/2006 and was last updated on 2/5/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineTEXASNo
22084N0400XPsychiatry & NeurologyNeurologyTEXASNo
32084P0800XPsychiatry & NeurologyPsychiatryTEXASNo
4213E00000XPodiatristTEXASNo
5315P00000XIntermediate Care Facility, Mentally RetardedTEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000711601MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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