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FAMILY TREE
NPI 1144422932
Intermediate Care Facility, Intellectual Disabilities in Bryan, TX

Active since June 04, 2007
408 N WASHINGTON AVE, BRYAN, TX 77803(979) 822-6467(979) 821-9448 Get Directions Write a Review

NPPES record last updated: March 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Family Tree NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAMILY TREE (NPI 1144422932) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Bryan, Texas and active in the NPI registry since June 2007. The organization lists Bill Kelly, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1144422932
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameFAMILY TREE
Location Address408 N WASHINGTON AVEBryan, TX 77803-5310
Mailing Address1504 Texas Ave., P.o. Box 4588Bryan, TX 77805-4588 · (979) 822-6467 · Fax (979) 821-9448
Phone(979) 822-6467
Fax(979) 821-9448
Organization SubpartNo
Authorized OfficialBill KellyExecutive Director · (979) 822-6467
Enumeration DateJune 4, 2007
Last NPPES UpdateMarch 26, 2024
NPPES CertifiedMarch 26, 2024
✔ NPI 1144422932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
License✔ Licensed in TX · 7662
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
408 N WASHINGTON AVE, Bryan, TX 77803
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Other Identifiers 1

Medicaid000766201TX

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 Family Tree's NPI number?

The NPI number for Family Tree is 1144422932. It was assigned to this organization in the NPPES registry on June 4, 2007.

Where is Family Tree located?

Family Tree is located at 408 N Washington Ave, Bryan, TX 77803. The listed phone number is (979) 822-6467.

What is Family Tree's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Family Tree was last updated on March 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.