BEVERLY
NPI 1396700423
Intermediate Care Facility, Mental Illness in Longview, TX

Active since April 20, 2006
3730 E LOOP DR, LONGVIEW, TX 75602(903) 753-1979(903) 753-7485 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Beverly NPPES

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

BEVERLY (NPI 1396700423) is a healthcare organization registered as an intermediate care facility, mental illness in Longview, Texas and active in the NPI registry since April 2006. The organization lists Mike Hawker, Cfo, as its authorized official.

NPPES Registry Identity

NPI1396700423
Entity TypeOrganization
Primary Taxonomy310500000X
Legal Business NameTAMARACK RESIDENTIAL SERVICES
Location Address3730 E LOOP DRLongview, TX 75602-6704
Mailing Address845 Proton RdSan Antonio, TX 78258-4203 · (210) 340-7155
Fax(903) 753-7485
Organization SubpartNo
Authorized OfficialMike HawkerCfo · (210) 340-7155
Enumeration DateApril 20, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1396700423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyIntermediate Care Facility, Mental IllnessNursing & Custodial Care Facilities
Taxonomy Code310500000X
License Licensed in TX · 007599
Definition

A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.

3730 E LOOP DR, Longview, TX 75602

Other Names 1

Other NameBeverly

Other Providers at the Same Location NPPES

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

Intermediate Care Facility, Mental Illness
3730 E LOOP DR
LONGVIEW, TX 75602

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 Tamarack Residential Services's NPI number?

The NPI number for Tamarack Residential Services is 1396700423. It was assigned to this organization in the NPPES registry on April 20, 2006. The provider is also known as Beverly.

Where is Tamarack Residential Services located?

Tamarack Residential Services is located at 3730 E Loop Dr, Longview, TX 75602. The listed phone number is (903) 753-1979.

What is Tamarack Residential Services's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Mental Illness with taxonomy code 310500000X.

When was this NPI record last updated?

The NPPES record for Tamarack Residential Services was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.