Active NPI
Precious Hand'S
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Longview, TX
National Provider Identifier
1053695403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- License
- 10535847
- Legal business name
- PRECIOUS HAND'S
- Practice address
- 209 Hailey Dr
Longview, TX 75602-2803 - Phone
- (903) 917-6465
- NPI assigned
- Oct 4, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Vashon McCoy
- Title
- Program Manager
- Phone
- (903) 917-6465
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | 10535847 | TX | Primary |
Addresses
Primary practice location
209 Hailey Dr
Longview, TX 75602-2803
Mailing address
209 Hailey Dr
Longview, TX 75602-2803
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317686400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1333929600000",
"number": "1053695403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 HAILEY DR",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756022803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 HAILEY DR",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756022803",
"telephone_number": "903-917-6465"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRECIOUS HAND'S",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-04",
"last_updated": "2012-04-09",
"status": "A",
"authorized_official_last_name": "MCCOY",
"authorized_official_first_name": "VASHON",
"authorized_official_title_or_position": "PROGRAM MANAGER",
"authorized_official_telephone_number": "903-917-6465",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "TX",
"license": "10535847",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Longview, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.