Htx Northwest Villa

LBN: Educare Community Living Limited Partnership
Htx Northwest Villa is an health care organization with primary practice located at 15062 County Road 1145 , Tyler TX 75704-7516. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Educare Community Living Limited Partnership can be contacted via phone (502) 394-2100, or through Whobrey, Timothy Tyler via phone (502) 630-7249.

Contact Information

Primary practice address
15062 County Road 1145 Tyler TX 75704-7516
Phone: (502) 394-2100
Fax: (903) 596-8104
Website:
Map and Directions
Authorized official contact:
Name: Whobrey, Timothy Tyler
Phone: (502) 630-7249

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X

Profile Details

NPI number 1023138062
LBN Legal business name Educare Community Living Limited Partnership
DBA Doing business as Htx Northwest Villa
Authorized official Whobrey, Timothy Tyler
Entity Organization
Organization subpart 1 No
Enumeration date Mar 31st, 2007
Last updated May 28th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023138062 NPPES
Texas MEDICAID 001000385

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