GOVERNORS RIDGE OPCO LLC
NPI 1083583587
Assisted Living Facility in Decatur, TX
About Governors Ridge Opco Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GOVERNORS RIDGE OPCO LLC (NPI 1083583587) is a healthcare organization registered as an assisted living facility in Decatur, Texas and active in the NPI registry since November 2025. The organization holds a CLIA Waiver certificate valid through December 2, 2026 and lists Joe Hagan, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 45D2203476
Governor's Ridge Retirement & Assisted Living · Decatur, TXOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Governors Ridge Opco LLC's NPI number?
The NPI number for Governors Ridge Opco LLC is 1083583587. It was assigned to this organization in the NPPES registry on November 3, 2025.
Where is Governors Ridge Opco LLC located?
Governors Ridge Opco LLC is located at 300 E Devereaux St, Decatur, TX 76234. The listed phone number is (940) 627-1104.
What is Governors Ridge Opco LLC's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Governors Ridge Opco LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D2203476) is associated with this NPI, valid through December 2, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Governors Ridge Opco LLC was last updated on November 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Governors Ridge Opco Llc · NPI 1083583587
Assisted Living Facility organization in Decatur, Texas. Organization record, active in the CMS NPPES registry since November 3, 2025.
## Identity
- **NPI:** 1083583587 (Entity type: Organization)
- **Enumerated:** November 3, 2025
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Organization subpart:** No
- **Authorized official:** Joe Hagan, DIRECTOR
## Practice location
- **Address:** 300 E DEVEREAUX ST, Decatur, TX 76234-3075
- **Phone:** (940) 627-1104
## Record status
- **NPPES last updated:** November 3, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1083583587) · Data from the CMS NPPES public registry.