Organization Active NPI

Safer House

  • Psychiatric Residential Treatment Facility
  • Athens, TX
National Provider Identifier
1003369455
Registry record updated Aug 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
320590787218 Issued in TX
Legal business name
SAFER HOUSE
Practice address
115 S Murchison St
Athens, TX 75751-2662
Phone
(903) 292-5108
NPI assigned
Aug 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Jennifer Upton Walters, LVN
Title
Licensed Vocational Nurse
Phone
(903) 288-5148

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X 320590787218 TX Primary

Addresses

Primary practice location

115 S Murchison St
Athens, TX 75751-2662

Mailing address

115 S Murchison St
Athens, TX 75751-2662
Phone (903) 292-5108

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1470096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470096000000",
    "number": "1003369455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 S MURCHISON ST",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "757512662",
            "telephone_number": "903-292-5108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 S MURCHISON ST",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "757512662",
            "telephone_number": "903-292-5108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFER HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-02",
        "last_updated": "2016-08-02",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "UPTON",
        "authorized_official_title_or_position": "LICENSED VOCATIONAL NURSE",
        "authorized_official_telephone_number": "903-288-5148",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "TX",
            "license": "320590787218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.