SHACKLEFREE MINISTRIES
NPI 1356695480
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Longview, TX

Active since October 26, 2012
409 N FREDONIA ST, SUITE 116, LONGVIEW, TX 75601(903) 917-6632 Get Directions Write a Review

NPPES record last updated: October 26, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shacklefree Ministries NPPES

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

SHACKLEFREE MINISTRIES (NPI 1356695480) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Longview, Texas and active in the NPI registry since October 2012. The organization lists Virginia Lea Taylor, Christian Counselor, as its authorized official.

NPPES Registry Identity

NPI1356695480
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameSHACKLEFREE MINISTRIES
Location Address409 N FREDONIA ST, SUITE 116Longview, TX 75601-6466
Mailing Address409 N Fredonia St, Suite 116Longview, TX 75601-6466 · (903) 917-6632
Organization SubpartNo
Authorized OfficialVirginia Lea TaylorChristian Counselor · (903) 917-6632
Enumeration DateOctober 26, 2012
NPI 1356695480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
409 N FREDONIA ST, Longview, TX 75601

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.

In Home Supportive Care
409 N FREDONIA ST
LONGVIEW, TX 75601
Home Health
409 N FREDONIA ST, SUITE 114
LONGVIEW, TX 75601
Counselor (Professional)
409 N FREDONIA ST, SUITE 122
LONGVIEW, TX 75601

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 Shacklefree Ministries's NPI number?

The NPI number for Shacklefree Ministries is 1356695480. It was assigned to this organization in the NPPES registry on October 26, 2012.

Where is Shacklefree Ministries located?

Shacklefree Ministries is located at 409 N Fredonia St Suite 116, Longview, TX 75601. The listed phone number is (903) 917-6632.

What is Shacklefree Ministries's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Shacklefree Ministries was last updated on October 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.