TRI-COUNTY BEHAVIORAL HEALTHCARE NPI 1114943453

NPI Information

NPI: 1114943453
Provider Name: TRI-COUNTY BEHAVIORAL HEALTHCARE

Other Name: LEGION STREET HOUSE

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
206 CHARLES BARKER AVE
CLEVELAND, TX
ZIP 77327
Phone: (936) 521-6100
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TRI-COUNTY BEHAVIORAL HEALTHCARE is an intermediate care facility mentally retarded in Cleveland, TX. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. TRI-COUNTY BEHAVIORAL HEALTHCARE NPI is 1114943453. The provider is registered as an organization entity type.
The provider Other Name Is Legion Street House.

The provider's business location address is:

206 CHARLES BARKER AVE
CLEVELAND, TX
ZIP 77327-711
Phone: (936) 521-6100

The provider's authorized official is Beverly A Standley .
The authorized official title is Reimbursement Manager and has the following contact phone number (936) 521-6100.

The enumeration date for this NPI number is 7/13/2006 and was last updated on 4/27/2015.

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	315P00000X	Intermediate Care Facility, Intellectual Disabilities				Yes

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	000389101	MEDICAID	TEXAS

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

NPI Synchronization or Removal

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