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ANCHOR HABILITATION SERVICES LLC NPI 1003246455


NPI Information

NPI: 1003246455
Provider Name: ANCHOR HABILITATION SERVICES, LLC
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization

CLIA Number: 45D2228013

Address:
9241 S PADRE ISLAND DR
CORPUS CHRISTI, TX
ZIP 78418
Phone: (361) 657-0247
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ANCHOR HABILITATION SERVICES, LLC is a community based residential treatment facility, intellectual and/or developmental disabilities in Corpus Christi, TX. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. ANCHOR HABILITATION SERVICES, LLC NPI is 1003246455. The provider is registered as an organization entity type.

The provider's business location address is:

9241 S PADRE ISLAND DR
CORPUS CHRISTI, TX
ZIP 78418-503
Phone: (361) 657-0247
Fax: (361) 657-0250

The provider's authorized official is Michael W Smith .
The authorized official title is Manager and has the following contact phone number (210) 499-5588.

The CLIA number assigned to this NPI record is 45D2228013 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/21/2013 and was last updated on 9/4/2014.


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
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesTEXASYes

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: 4/28/2024

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