HOLLY STREET HOUSE
NPI 1508887241
Intermediate Care Facility, Intellectual Disabilities in Liberty, TX
About Holly Street House NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HOLLY STREET HOUSE (NPI 1508887241) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Liberty, Texas and active in the NPI registry since July 2006. The organization lists Evan Roberson, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LIBERTY, TX 77575
LIBERTY, TX 77575
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 Tri-County Behavioral Healthcare's NPI number?
The NPI number for Tri-County Behavioral Healthcare is 1508887241. It was assigned to this organization in the NPPES registry on July 21, 2006. The provider is also known as Holly Street House.
Where is Tri-County Behavioral Healthcare located?
Tri-County Behavioral Healthcare is located at 1420 Holly St, Liberty, TX 77575. The listed phone number is (936) 521-6100.
What is Tri-County Behavioral Healthcare'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 Tri-County Behavioral Healthcare was last updated on June 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Holly Street House · NPI 1508887241
Intermediate Care Facility, Intellectual Disabilities organization in Liberty, Texas. Organization record, active in the CMS NPPES registry since July 21, 2006.
## Identity
- **NPI:** 1508887241 (Entity type: Organization)
- **Enumerated:** July 21, 2006
- **Primary specialty:** Intermediate Care Facility, Intellectual Disabilities · taxonomy 315P00000X
- **Legal business name:** Tri-County Behavioral Healthcare
- **Organization subpart:** No
- **Authorized official:** Evan Roberson, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 1420 HOLLY ST, Liberty, TX 77575-3118
- **Phone:** (936) 521-6100
## Record status
- **NPPES last updated:** June 27, 2024
- **Other identifiers:** Medicaid 000756601 (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1508887241) · Data from the CMS NPPES public registry.