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DEVEREUX FOUNDATION NPI 1609958628


NPI Information

NPI: 1609958628
Provider Name: DEVEREUX FOUNDATION

Doing Business As: DEVEREUX TEXAS TREATMENT NETWORK

Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
120 DAVID WADE DRIVE
VICTORIA, TX
ZIP 77905
Phone: (361) 575-8271
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DEVEREUX FOUNDATION is a residential treatment facility, intellectual and/or developmental disabilities in Victoria, TX. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. DEVEREUX FOUNDATION NPI is 1609958628. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Devereux Texas Treatment Network.

The provider's business location address is:

120 DAVID WADE DRIVE
VICTORIA, TX
ZIP 77905
Phone: (361) 575-8271
Fax: (361) 575-6520

The provider's authorized official is Pamela E. Helm .
The authorized official title is Executive Director and has the following contact phone number (281) 335-1000.

The enumeration date for this NPI number is 10/19/2006 and was last updated on 7/14/2009.


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
1101YP2500XCounselorProfessionalNo
22084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryNo
3320600000XResidential Treatment Facility, Intellectual and/or Developmental Disabilities5460TEXASYes

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
1112748201MEDICAIDTEXAS
200876KMEDICARE PINTEXAS
3112748202MEDICAIDTEXAS

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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