RUBY JEWELLS LEGACY LLC
NPI 1932678869
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Wichita Falls, TX

Q: What is Ruby Jewells Legacy LLC's NPI number?

The NPI number for Ruby Jewells Legacy LLC is 1932678869. It was assigned to this organization in the NPPES registry on November 20, 2018.

Q: What is Ruby Jewells Legacy LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

Active since November 20, 2018

3007 LOMBARD DR, WICHITA FALLS, TX 76309(989) 714-6562 Get Directions Write a Review

NPPES record last updated: February 12, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jan 3, 2020, Nov 20, 2018 (2 updates tracked since 2018).

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About Ruby Jewells Legacy Llc NPPES

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

RUBY JEWELLS LEGACY LLC (NPI 1932678869) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Wichita Falls, Texas and active in the NPI registry since November 2018. The organization lists Taniqua Blakely, Owner/program Manager, as its authorized official.

NPPES Registry Identity

NPI1932678869

Entity TypeOrganization

Primary Taxonomy320900000X

Legal Business NameRUBY JEWELLS LEGACY LLC

Location Address3007 LOMBARD DRWichita Falls, TX 76309-4727

Mailing Address3007 Lombard DrWichita Falls, TX 76309-4727 · (989) 714-6562

Phone(989) 714-6562

Organization SubpartNo

Authorized OfficialTaniqua BlakelyOwner/program Manager · (989) 714-6562

Enumeration DateNovember 20, 2018

Last NPPES UpdateFebruary 12, 20242 updates tracked since enumeration

NPPES CertifiedFebruary 12, 2024

✔ NPI 1932678869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320900000X

Definition

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

3007 LOMBARD DR, Wichita Falls, TX 76309

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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 Ruby Jewells Legacy LLC's NPI number?

The NPI number for Ruby Jewells Legacy LLC is 1932678869. It was assigned to this organization in the NPPES registry on November 20, 2018.

Where is Ruby Jewells Legacy LLC located?

Ruby Jewells Legacy LLC is located at 3007 Lombard Dr, Wichita Falls, TX 76309. The listed phone number is (989) 714-6562.

What is Ruby Jewells Legacy LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Ruby Jewells Legacy LLC was last updated on February 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.