CHEVELL DIXON
NPI 1700377363
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Longview, TX

Active since May 19, 2018
168 LONESOME PINE RD, LONGVIEW, TX 75605(903) 746-9033 Get Directions Write a Review

NPPES record last updated: July 26, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 26, 2024, May 19, 2018 (2 updates tracked since 2018).

About Chevell Dixon NPPES

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

CHEVELL DIXON (NPI 1700377363) is an individual community based residential treatment facility, intellectual and/or developmental disabilities provider in Longview, Texas and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1700377363
Entity TypeIndividualFemale
Primary Taxonomy320900000X
Provider Legal NameCHEVELL DIXON
Location Address168 LONESOME PINE RDLongview, TX 75605-7300
Mailing Address168 Lonesome Pine RdLongview, TX 75605-7300 · (903) 746-9033
Sole ProprietorYes
Enumeration DateMay 19, 2018
Last NPPES UpdateJuly 26, 20242 updates tracked since enumeration
NPPES CertifiedJuly 26, 2024
NPI 1700377363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code320900000X
Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

168 LONESOME PINE RD, Longview, TX 75605

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700377363, enumerated as an "individual" on May 19, 2018.

The provider is located at 168 LONESOME PINE RD LONGVIEW, TX 75605 and the phone number is (903) 746-9033.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.