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HEALTH AND HUMAN SERVICES COMMISSION NPI 1649363326


NPI Information

NPI: 1649363326
Provider Name: HEALTH AND HUMAN SERVICES COMMISSION

Other Name: LUBBOCK STATE SUPPORTED LIVING CENTER

Classification: Intermediate Care Facility, Mentally Retarded - 315P00000X
Entity Type: Organization

CLIA Number: 45D0889511

Address:
3401 N UNIVERSITY AVE
LUBBOCK, TX
ZIP 79415
Phone: (806) 763-7041
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HEALTH AND HUMAN SERVICES COMMISSION is an intermediate care facility mentally retarded in Lubbock, TX. The provider is (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. HEALTH AND HUMAN SERVICES COMMISSION NPI is 1649363326. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Lubbock State Supported Living Center.

The provider's business location address is:

3401 N UNIVERSITY AVE
LUBBOCK, TX
ZIP 79415-734
Phone: (806) 763-7041
Fax: (806) 741-3604

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 45D0889511 - intermediate care facility/individuals with intellectual disability 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineTEXASNo
2207RC0000XInternal MedicineCardiovascular DiseaseTEXASNo
3207V00000XObstetrics & GynecologyTEXASNo
4207W00000XOphthalmologyTEXASNo
5208100000XPhysical Medicine & RehabilitationTEXASNo
62084N0400XPsychiatry & NeurologyNeurologyTEXASNo
72084P0800XPsychiatry & NeurologyPsychiatryTEXASNo
82085R0202XRadiologyDiagnostic RadiologyTEXASNo
9213E00000XPodiatristTEXASNo
10315P00000XIntermediate Care Facility, Mentally RetardedTEXASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000710701MEDICAIDTEXAS

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.