NPIMap

Organization Active NPI

Access

  • Intellectual Disabilities Intermediate Care Facility
  • Jacksonville, TX
National Provider Identifier
1013945625
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
45H268 Issued in TX
Legal business name
ACCESS
Practice address
5656 N. Jackson
Jacksonville, TX 75766
Phone
(903) 589-9000
Fax
(903) 586-9200
NPI assigned
Jun 30, 2006
Last updated
Jun 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Authorized official

Name
Allyn Lang
Title
Executive Director
Phone
(903) 586-5507

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 45H268 TX Primary

Addresses

Primary practice location

5656 N. Jackson
Jacksonville, TX 75766

Mailing address

5656 N. Jackson
Jacksonville, TX 75766
Phone (903) 589-9000

Other identifiers 1

IdentifierTypeStateIssuer
45H268MedicaidTX

National Provider Directory

National Provider Directory
Tax ID family
Access15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1013945625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5656 N. JACKSON",
            "city": "JACKSONVILLE",
            "state": "TX",
            "postal_code": "75766",
            "telephone_number": "903-589-9000",
            "fax_number": "903-586-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5656 N. JACKSON",
            "city": "JACKSONVILLE",
            "state": "TX",
            "postal_code": "75766",
            "telephone_number": "903-589-9000",
            "fax_number": "903-586-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "LANG",
        "authorized_official_first_name": "ALLYN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "903-586-5507"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "TX",
            "license": "45H268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45H268",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.