HEALTH AND HUMAN SERVICES COMMISSION NPI 1346333945

NPI Information

NPI: 1346333945
Provider Name: HEALTH AND HUMAN SERVICES COMMISSION

Other Name: SAN ANGELO STATE SUPPORTED LIVING CENTER

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization

Address:
11640 US HIGHWAY 87 N
CARLSBAD, TX
ZIP 76934
Phone: (325) 465-4391
Get Directions

HEALTH AND HUMAN SERVICES COMMISSION is an intermediate care facility mentally retarded in Carlsbad, TX. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. HEALTH AND HUMAN SERVICES COMMISSION NPI is 1346333945. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is San Angelo State Supported Living Center.

The provider's business location address is:

11640 US HIGHWAY 87 N
CARLSBAD, TX
ZIP 76934-000
Phone: (325) 465-4391
Fax: (325) 465-2878

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 45D0993579 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/2/2006 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 Code	Taxonomy Clasification	Taxonomy Specialization	License State	Primary
1	204D00000X	Neuromusculoskeletal Medicine & OMM		TEXAS	No
2	207Q00000X	Family Medicine		TEXAS	No
3	207R00000X	Internal Medicine		TEXAS	No
4	207W00000X	Ophthalmology		TEXAS	No
5	2084P0800X	Psychiatry & Neurology	Psychiatry	TEXAS	No
6	315P00000X	Intermediate Care Facility, Intellectual Disabilities		TEXAS	Yes
7	364S00000X	Clinical Nurse Specialist		TEXAS	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	000710801	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: 5/5/2024

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