TAMARCK RESIDENTIAL SERVICES NPI 1518922517

NPI Information

  • NPI: 1518922517
  • Provider Name: TAMARCK RESIDENTIAL SERVICES
  • Classification: Intermediate Care Facility, Mental Illness - 310500000X
  • Entity Type: Organization
  • Other Name: LANEY
  • Address: 1801 LANEY DR
    LONGVIEW, TX
    ZIP 75605
  • Phone: (903) 758-6938

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NPI Details

TAMARCK RESIDENTIAL SERVICES is an intermediate care facility mental illness in Longview, TX. The provider is a nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. TAMARCK RESIDENTIAL SERVICES NPI is 1518922517. The provider is registered as an organization entity type.
The provider Other Name Is Laney.

The provider's business location address is:

1801 LANEY DR
LONGVIEW, TX
ZIP 75605-487
Phone: (903) 758-6938

The provider's authorized official is Mike Hawker .
The authorized official title is Cfo and has the following contact phone number (210) 340-7155.

The enumeration date for this NPI number is 4/20/2006 and was last updated on 8/22/2020.

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
1310500000XIntermediate Care Facility, Mental Illness007509TEXASYes

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: 11/21/2025

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