1. Home
  2. Directory
  3. Texas
  4. Balch Springs
  5. Skilled Nursing Facility
  6. NPI Profile

BALCH SPRINGS NURSING HOME
NPI 1386632750
Skilled Nursing Facility in Balch Springs, TX

Active since October 11, 2005CLIA 45D0687684 · Waiver
4200 SHEPHERD LN, BALCH SPRINGS, TX 75180(972) 286-0335(972) 286-7514 Get Directions Write a Review

NPPES record last updated: October 25, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Balch Springs Nursing Home NPPES

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

BALCH SPRINGS NURSING HOME (NPI 1386632750) is a healthcare organization registered as a skilled nursing facility in Balch Springs, Texas and active in the NPI registry since October 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Peter J Licari, President Of General Partner, as its authorized official.

NPPES Registry Identity

NPI1386632750
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameBALCH SPRINGS NURSING HOME, L.P.
Location Address4200 SHEPHERD LNBalch Springs, TX 75180-3423
Mailing Address200 Dryden Road, Suite 2000Dresher, PA 19025 · (215) 441-7700 · Fax (215) 441-4255
Phone(972) 286-0335
Fax(972) 286-7514
Organization SubpartNo
Authorized OfficialPeter J LicariPresident Of General Partner · (215) 441-7700
Enumeration DateOctober 11, 2005
Last NPPES UpdateOctober 25, 2007
✔ NPI 1386632750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License✔ Licensed in TX · 114513
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Also ListedDurable Medical Equipment & Medical Supplies · Nursing Facility SuppliesTaxonomy 332BN1400X · License 114513 (TX)
Also ListedDurable Medical Equipment & Medical Supplies · Parenteral & Enteral NutritionTaxonomy 332BP3500X · License 114513 (TX)
4200 SHEPHERD LN, Balch Springs, TX 75180
Open in Google Maps ↗

Other Names 1

Doing Business AsBalch Springs Nursing Home

Other Identifiers 3

Medicaid005105TX
Medicare NSC4535430001TX
Medicare OSCAR/certification675057TX

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 45D0687684

Balch Springs Nursing Home · Balch Springs, TX
Active · expires Aug 31, 2026
CLIA Number45D0687684
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDianne Edwards
Laboratory Phone(214) 286-0335
Laboratory LocationBalch Springs Nursing Home4200 Shepherd Lane, Balch Springs, TX 75180
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

BACK OFFICE MANAGEMENT SERVICES LLC
Podiatrist
4200 SHEPHERD LN
BALCH SPRINGS, TX 75180
Dallas County (718) 972-5000
HAMILTON COUNTY HOSPITAL DISTRICT
Skilled Nursing Facility
4200 SHEPHERD LN
BALCH SPRINGS, TX 75180
Dallas County (972) 286-0335
TEXAS POST ACUTE SPECIALISTS, PA
Internal Medicine
4200 SHEPHERD LN
BALCH SPRINGS, TX 75180
Dallas County (800) 411-6768
DALLAS GERIATRICS ASSOCIATES, P.A
Family Medicine (Geriatric Medicine)
4200 SHEPHERD LN
BALCH SPRINGS, TX 75180
Dallas County (214) 325-1969

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 Balch Springs Nursing Home, L.P.'s NPI number?

The NPI number for Balch Springs Nursing Home, L.P. is 1386632750. It was assigned to this organization in the NPPES registry on October 11, 2005. The provider is doing business as Balch Springs Nursing Home.

Where is Balch Springs Nursing Home, L.P. located?

Balch Springs Nursing Home, L.P. is located at 4200 Shepherd Ln, Balch Springs, TX 75180. The listed phone number is (972) 286-0335.

What is Balch Springs Nursing Home, L.P.'s specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Balch Springs Nursing Home, L.P. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0687684) 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 Balch Springs Nursing Home, L.P. was last updated on October 25, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.