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ROOSEVELT GROUP HOME
NPI 1922143700
Intermediate Care Facility, Intellectual Disabilities in Silsbee, TX

Active since February 20, 2007
1020 ROOSEVELT DR, SILSBEE, TX 77656(409) 385-3723(409) 385-9304 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Roosevelt Group Home NPPES

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

ROOSEVELT GROUP HOME (NPI 1922143700) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Silsbee, Texas and active in the NPI registry since February 2007. The organization lists D. Michael Johnson, President, as its authorized official.

NPPES Registry Identity

NPI1922143700
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameEAST TEXAS COMMUNITY SERVICES FOR THE DEVELOPMENTALLY DISABLED, INC.
Location Address1020 ROOSEVELT DRSilsbee, TX 77656-3408
Mailing AddressPo Box 2185Silsbee, TX 77656-2185 · (409) 385-2626 · Fax (409) 385-9307
Phone(409) 385-3723
Fax(409) 385-9304
Organization SubpartNo
Authorized OfficialD. Michael JohnsonPresident · (409) 385-2626
Enumeration DateFebruary 20, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1922143700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
License✔ Licensed in TX · 7554
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
1020 ROOSEVELT DR, Silsbee, TX 77656
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Other Names 1

Other NameRoosevelt Group Home

Other Identifiers 1

Other7554TX · Vendor

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.

DEVELOPMENTAL DISABILITIES MANAGEMENT SERVICES OF BEAUMONT, LLC
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1020 ROOSEVELT DR
SILSBEE, TX 77656
Hardin County (409) 832-4112
GOLDEN TRIANGLE LIVING CENTER, INC
Intermediate Care Facility, Intellectual Disabilities
1020 ROOSEVELT DR
SILSBEE, TX 77656
Hardin County (409) 385-3723

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 East Texas Community Services For The Developmentally Disabled, Inc.'s NPI number?

The NPI number for East Texas Community Services For The Developmentally Disabled, Inc. is 1922143700. It was assigned to this organization in the NPPES registry on February 20, 2007. The provider is also known as Roosevelt Group Home.

Where is East Texas Community Services For The Developmentally Disabled, Inc. located?

East Texas Community Services For The Developmentally Disabled, Inc. is located at 1020 Roosevelt Dr, Silsbee, TX 77656. The listed phone number is (409) 385-3723.

What is East Texas Community Services For The Developmentally Disabled, Inc.'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 East Texas Community Services For The Developmentally Disabled, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.