3419 54TH St
Intermediate care facility for individuals with intellectual disabilities in Lubbock, TX, Medicare certification number 45H140.
Medicare certification
Provider of Services- CCN
- 45H140
- Status
- Active
- Provider type
- Intermediate care facility for individuals with intellectual disabilities
- Control type
- Private (proprietary)
- Participating since
- Mar 8, 1994
- Last certification
- Aug 21, 2025
- Beds
- 6
- Most recent change of ownership
- Jan 1, 2005
- Address
- 3419 54TH St
Lubbock, TX 79413
(806) 794-9334
NPI records for this facility (CCN to NPI Mapping) 1
-
dba 3419 54th St
- Intellectual Disabilities Intermediate Care Facility
- Lubbock, TX
- NPI 1962042895
Name & address match
Other intermediate care facilities for individuals with intellectual disabilities in Lubbock, TX
Sources for this page
- Provider of Services: the certification, provider type, beds and status.
- Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.
- NPPES NPI Registry: the NPI records connected to this certification.