NPIMap

Organization Active NPI

Health and Human Services Commission

  • Intellectual Disabilities Intermediate Care Facility
  • Carlsbad, TX
National Provider Identifier
1346333945
Registry record updated Feb 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
HEALTH AND HUMAN SERVICES COMMISSION
Practice address
11640 US Highway 87 N
Carlsbad, TX 76934-7000
Phone
(325) 465-4391
Fax
(325) 465-2878
NPI assigned
Oct 2, 2006
Last updated
Feb 5, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2018

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

Authorized official

Name
Scott Schalchlin
Title
Associate Commissioner
Phone
(512) 438-3076

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X TX Primary
Clinical Nurse Specialist 364S00000X TX
Neuromusculoskeletal Medicine & OMM Physician 204D00000X TX
Family Medicine Physician 207Q00000X TX
Internal Medicine Physician 207R00000X TX
Ophthalmology Physician 207W00000X TX
Psychiatry Physician 2084P0800X TX

Addresses

Primary practice location

11640 US Highway 87 N
Carlsbad, TX 76934-7000

Mailing address

PO Box 38
Carlsbad, TX 76934-0038
Phone (325) 465-4391

Other identifiers 1

IdentifierTypeStateIssuer
000710801MedicaidTX

Other names 1

  • San Angelo State Supported Living Center Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170908001058 TX Part B Supplier - Clinic/Group Practice 2163795824 Receives reassigned benefits from 462 practitioners
22 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lubbock, TX; Mexia, TX; Pollock, TX; Richmond, TX; Rusk, TX; San Antonio, TX; Terrell, TX; Vernon, TX…

Other NPIs on the same Medicare enrollment 22

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 22

National Provider Directory

National Provider Directory
Tax ID family
HHSC Wic Program56 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

540 Chapel Dr
Mexia, TX 76667
Phone (254) 562-1750

Practitioners & affiliated clinicians

Practitioners 27

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517788800000",
    "number": "1346333945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 38",
            "city": "CARLSBAD",
            "state": "TX",
            "postal_code": "769340038",
            "telephone_number": "325-465-4391",
            "fax_number": "325-465-2878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11640 US HIGHWAY 87 N",
            "city": "CARLSBAD",
            "state": "TX",
            "postal_code": "769347000",
            "telephone_number": "325-465-4391",
            "fax_number": "325-465-2878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH AND HUMAN SERVICES COMMISSION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2018-02-05",
        "status": "A",
        "authorized_official_last_name": "SCHALCHLIN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "ASSOCIATE COMMISSIONER",
        "authorized_official_telephone_number": "512-438-3076"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "TX",
            "license": null,
            "primary": true
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000710801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Angelo State Supported Living Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "San Angelo State Supported Living Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Carlsbad, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.