BRECKENRIDGE VILLAGE OF TYLER
NPI 1770969768
Assisted Living Facility in Tyler, TX

Q: What is Baptist Care Facilities For Person's With Mental Disabilties's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since August 03, 2015

15062 COUNTY ROAD 1145, TYLER, TX 75704(903) 596-8100(903) 596-8104 Get Directions Write a Review

NPPES record last updated: August 3, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Breckenridge Village Of Tyler NPPES

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

BRECKENRIDGE VILLAGE OF TYLER (NPI 1770969768) is a healthcare organization registered as an assisted living facility in Tyler, Texas and active in the NPI registry since August 2015. The organization lists Kevin King, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1770969768

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameBAPTIST CARE FACILITIES FOR PERSON'S WITH MENTAL DISABILTIES

Location Address15062 COUNTY ROAD 1145Tyler, TX 75704-7516

Mailing Address15062 County Road 1145Tyler, TX 75704-7516 · (903) 596-8100 · Fax (903) 596-8104

Phone(903) 596-8100

Fax(903) 596-8104

Organization SubpartYesParent: Bcfs Hhs

Authorized OfficialKevin KingExecutive Director · (903) 596-8100

Enumeration DateAugust 3, 2015

✔ NPI 1770969768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

License✔ Licensed in TX · 137372

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

15062 COUNTY ROAD 1145, Tyler, TX 75704

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Other Names 1

Doing Business AsBreckenridge Village Of Tyler

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.

EDUCARE COMMUNITY LIVING LIMITED PARTNERSHIP

Intermediate Care Facility, Intellectual Disabilities

15062 COUNTY ROAD 1145
TYLER, TX 75704

Smith County (502) 394-2100

BRECKENRIDGE VILLAGE

Intermediate Care Facility, Intellectual Disabilities

15062 COUNTY ROAD 1145
TYLER, TX 75704

Smith County (903) 956-8100

BRECKENRIDGE VILLAGE

Intermediate Care Facility, Intellectual Disabilities

15062 COUNTY ROAD 1145
TYLER, TX 75704

Smith County (903) 956-8100

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 Baptist Care Facilities For Person's With Mental Disabilties's NPI number?

The NPI number for Baptist Care Facilities For Person's With Mental Disabilties is 1770969768. It was assigned to this organization in the NPPES registry on August 3, 2015. The provider is doing business as Breckenridge Village Of Tyler.

Where is Baptist Care Facilities For Person's With Mental Disabilties located?

Baptist Care Facilities For Person's With Mental Disabilties is located at 15062 County Road 1145, Tyler, TX 75704. The listed phone number is (903) 596-8100.

What is Baptist Care Facilities For Person's With Mental Disabilties's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Baptist Care Facilities For Person's With Mental Disabilties was last updated on August 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.