DENTON STATE SUPPORTED LIVING CENTER
NPI 1659464204
Intermediate Care Facility, Intellectual Disabilities in Denton, TX

Q: What is the provider's specialty?

The provider's specialty is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Active since October 02, 2006CLIA 45D0918563 · Waiver

3980 STATE SCHOOL RD, DENTON, TX 76210(940) 591-0342(940) 591-3300 Get Directions Write a Review

NPPES record last updated: February 5, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Denton State Supported Living Center NPPES

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

DENTON STATE SUPPORTED LIVING CENTER (NPI 1659464204) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Denton, Texas and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through August 12, 2026 and lists Scott Schalchlin, Associate Commissioner, as its authorized official.

NPPES Registry Identity

NPI1659464204

Entity TypeOrganization

Primary Taxonomy315P00000X

Legal Business NameHEALTH AND HUMAN SERVICES COMMISSION

Location Address3980 STATE SCHOOL RDDenton, TX 76210-8823

Mailing AddressPo Box 368Denton, TX 76202-0368 · (940) 591-3042 · Fax (940) 591-3300

Phone(940) 591-0342

Fax(940) 591-3300

Organization SubpartNo

Authorized OfficialScott SchalchlinAssociate Commissioner · (512) 438-3076

Enumeration DateOctober 2, 2006

Last NPPES UpdateFebruary 5, 2018

✔ NPI 1659464204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities

Taxonomy Code315P00000X

Definition

An intermediate care facility providing services for individuals with intellectual disabilities.

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X

Also ListedNurse PractitionerTaxonomy 363L00000X

3980 STATE SCHOOL RD, Denton, TX 76210

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Other Names 1

Other NameDenton State Supported Living Center

Other Identifiers 1

Medicaid000710201TX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 45D0918563

Denton State Supported Living Center · Denton, TX

Active · expires Aug 12, 2026

CLIA Number45D0918563

Laboratory TypeIntermediate Care Facility For Mentally Retarded

Certificate Effective DateAugust 13, 2024

Certificate Expiration DateAugust 12, 2026

Laboratory DirectorFelipe Porres

Laboratory Phone(940) 591-3510

Laboratory LocationDenton State Supported Living Center3980 State School Road, Denton, TX 76210

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 19

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

DR. STEPHEN LYN SEALE D.O.

Family Medicine