AGNES DENT HOMES III
NPI 1609136944
Intermediate Care Facility, Mental Illness in Lubbock, TX
- Organization
- Intermediate Care Facility, Mental Illne...
About AGNES DENT HOMES III
This page provides the complete NPI Profile along with additional information for Agnes Dent Homes Iii, a provider established in Lubbock, Texas operating as a Intermediate Care Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1609136944 assigned on May 2012. The practitioner's primary taxonomy code is 310500000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's is doing business as Agnes Dent Homes Iii. The authorized official of this NPI record is Mr. James Erich Ryan (Administrator/sole Proprietor)
- NPI
- 1609136944 Verify this NPI
- Provider Legal Name
- JAMES E. RYAN
- Other Organization Name
- AGNES DENT HOMES III
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 5322 22ND ST LUBBOCK, TX 79407
- Location Phone
- (806) 797-9859
- Location Fax
- (806) 785-3289
- Mailing Address
- 5280 MARSHA SHARP FWY LUBBOCK, TX 79407
- Mailing Phone
- (806) 797-9859
- Mailing Fax
- (806) 785-3289
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-21-2012
- Last Update Date
- 08-16-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Intermediate Care Facility, Mental Illness
- Taxonomy Code
- 310500000X
- Type
- Nursing & Custodial Care Facilities
- Taxonomy Description
- A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
LUBBOCK, TX 79407
LUBBOCK, TX 79407
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609136944, enumerated as an "organization" on May 21, 2012.
The provider is located at 5322 22ND ST LUBBOCK, TX 79407 and the phone number is (806) 797-9859.
Intermediate Care Facility, Mental Illness with taxonomy code 310500000X.
