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CHILDRESS HEALTHCARE
NPI 1174511745
Custodial Care Facility - Adult Care Home in Childress, TX

Active since October 07, 2005CLIA 45D0679163 · Waiver
1200 7TH ST NW, CHILDRESS, TX 79201(940) 937-8668(940) 937-8772 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Childress Healthcare NPPES

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

CHILDRESS HEALTHCARE (NPI 1174511745) is a healthcare organization registered as an adult care home in Childress, Texas and active in the NPI registry since October 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Dawna Lynn Mcminn, Medicare Manager, as its authorized official.

NPPES Registry Identity

NPI1174511745
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameCHILDRESS HEALTHCARE
Location Address1200 7TH ST NWChildress, TX 79201-2627
Mailing Address1200 7th St NwChildress, TX 79201-2627 · (940) 937-8668 · Fax (940) 937-8772
Phone(940) 937-8668
Fax(940) 937-8772
Organization SubpartNo
Authorized OfficialDawna Lynn McminnMedicare Manager · (940) 937-8668
Enumeration DateOctober 7, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1174511745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License✔ Licensed in TX · 110871
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
1200 7TH ST NW, Childress, TX 79201
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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 45D0679163

Childress Healthcare Center · Childress, TX
Active · expires Aug 31, 2026
CLIA Number45D0679163
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorPaula A. Petrash
Laboratory Phone(940) 937-8668
Laboratory LocationChildress Healthcare Center1200 7th Street NW, Childress, TX 79201
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHILDRESS COUNTY HOSPITAL DISTRICT
Skilled Nursing Facility
1200 7TH ST NW
CHILDRESS, TX 79201
Childress County (940) 937-8668
MS. STACIE BROOKE MATHIS LCSW
Social Worker (Clinical)
1200 7TH ST NW
CHILDRESS, TX 79201
Childress County (888) 365-6271
CHILDRESS COUNTY HOSPITAL DISTRICT
Skilled Nursing Facility
1200 7TH ST NW
CHILDRESS, TX 79201
Childress County (940) 937-8668

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 Childress Healthcare's NPI number?

The NPI number for Childress Healthcare is 1174511745. It was assigned to this organization in the NPPES registry on October 7, 2005.

Where is Childress Healthcare located?

Childress Healthcare is located at 1200 7th St NW, Childress, TX 79201. The listed phone number is (940) 937-8668.

What is Childress Healthcare's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Does Childress Healthcare hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0679163) is associated with this NPI, valid through August 31, 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 Childress Healthcare was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.