TRANSITIONAL LEARNING CENTER AT GALVESTON NPI 1053743856

NPI Information

NPI: 1053743856
Provider Name: TRANSITIONAL LEARNING CENTER AT GALVESTON

Doing Business As: TIDEWAY

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
6444 CENTRAL CITY BLVD
GALVESTON, TX
ZIP 77551
Phone: (409) 741-3266
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TRANSITIONAL LEARNING CENTER AT GALVESTON is an assisted living facility in Galveston, TX. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. TRANSITIONAL LEARNING CENTER AT GALVESTON NPI is 1053743856. The provider is registered as an organization entity type.
The provider Is Doing Business As Tideway.

The provider's business location address is:

6444 CENTRAL CITY BLVD
GALVESTON, TX
ZIP 77551-058
Phone: (409) 741-3266

The provider's authorized official is James Anderson .
The authorized official title is Contract Manager and has the following contact phone number (409) 797-1468.

The enumeration date for this NPI number is 8/2/2013 and was last updated on 12/9/2019.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0401X	Clinic/Center	Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)			No
2	310400000X	Assisted Living Facility		134987	TEXAS	Yes
3	3104A0625X	Assisted Living Facility	Assisted Living, Mental Illness			No

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	148770	OTHER	TEXAS	TEXAS HEALTH & HUMAN SERVICES ASSISTED LIVING FACILITY LICENSE
2	150157	OTHER	TEXAS	TEXAS HEALTH & HUMAN SERVICES ASSISTED LIVING FACILITY LICENSE

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: 5/5/2024

NPI Synchronization or Removal

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