Active NPI
Special Needs Solutions, LLC
- Customized Equipment (DME)
- Tyler, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- Legal business name
- SPECIAL NEEDS SOLUTIONS, LLC
- Practice address
- 13213 Hwy 155 S
Suite B
Tyler, TX 75703-6561 - Phone
- (903) 330-0821
- NPI assigned
- Nov 10, 2006
- 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
- Ray Bockover, ATP
- Title
- Manager
- Phone
- (903) 330-0821
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Customized Equipment (DME) | 332BC3200X | Primary |
Addresses
Primary practice location
13213 Hwy 155 S
Suite B
Tyler, TX 75703-6561
Mailing address
13213 Hwy 155 S
Suite B
Tyler, TX 75703-6561
Phone (903) 330-0821
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 162607601 | Medicaid | TX | |
| 162618602 | Medicaid | TX | |
| 162618603 | Medicaid | TX | |
| 162618606 | Medicaid | TX | |
| 162618604 | Medicaid | TX | |
| 531822 | Other | TX | BLUECROSS BLUESHIELD |
| 162618605 | Medicaid | TX |
National Provider Directory
National Provider Directory- Tax ID family
- Special Needs Solutions LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Customized Equipment (DME)
- Whitehouse, TX
- NPI 1487892345
Locations
13213 Highway 155 S
Ste B
Tyler, TX 75703
Phone (903) 330-0821
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Other Technician
- Tyler, TX
- NPI 1871889048
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163116800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1314057600000",
"number": "1124199369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13213 HWY 155 S",
"address_2": "SUITE B",
"city": "TYLER",
"state": "TX",
"postal_code": "757036561",
"telephone_number": "903-330-0821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13213 HWY 155 S",
"address_2": "SUITE B",
"city": "TYLER",
"state": "TX",
"postal_code": "757036561",
"telephone_number": "903-330-0821"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPECIAL NEEDS SOLUTIONS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-10",
"last_updated": "2011-08-23",
"status": "A",
"authorized_official_last_name": "BOCKOVER",
"authorized_official_first_name": "RAY",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "903-330-0821",
"authorized_official_credential": "ATP"
},
"taxonomies": [
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "162607601",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "162618602",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "162618603",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "162618606",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "162618604",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "531822",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "162618605",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tyler, TX
- Lindsey Nicole Spears
- Shane Foree Spears, PA-C, CCP
- Special Health Resources for Texas Incorporated
- Special Health Resources for Texas, Incorporated
- Special Health Resources for Texas, Incorporated
- Specialty Hospital, LLC
- Speech Language and Auditory Learning
- Speech Swallowing and Neurological Rehabilitation PLLC
- Speech, Language, & Auditory Learning, PLLC
- Speed of Light Ultrasound, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.