BRECKENRIDGE VILLAGE
NPI 1477748010
Intermediate Care Facility, Intellectual Disabilities in Tyler, TX
About Breckenridge Village NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRECKENRIDGE VILLAGE (NPI 1477748010), doing business as Breckenridge Village Of Tyler, is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Tyler, Texas and active in the NPI registry since September 2007. The organization lists Melissa Perkins, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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.
TYLER, TX 75704
TYLER, TX 75704
TYLER, TX 75704
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 Breckenridge Village's NPI number?
The NPI number for Breckenridge Village is 1477748010. It was assigned to this organization in the NPPES registry on September 6, 2007. The provider is doing business as Breckenridge Village of Tyler.
Where is Breckenridge Village located?
Breckenridge Village is located at 15062 County Road 1145, Tyler, TX 75704. The listed phone number is (903) 956-8100.
What is Breckenridge Village'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 Breckenridge Village was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.
