NPIMap

Organization Active NPI

Allegiance Behavioral Health Center of Plainview, LLC

  • Psychiatric Hospital
  • Plainview, TX
National Provider Identifier
1386691046
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
008160 Issued in TX
Legal business name
ALLEGIANCE BEHAVIORAL HEALTH CENTER OF PLAINVIEW, LLC
Practice address
2601 Dimmitt Rd
Suite 400
Plainview, TX 79072-1833
Phone
(806) 296-9191
Fax
(806) 296-9292
NPI assigned
May 28, 2006
Last updated
Sep 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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

Authorized official

Name
Mr. Rock Bordelon
Title
Ceo
Phone
(318) 226-8202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X 008160 TX Primary

Addresses

Primary practice location

2601 Dimmitt Rd
Suite 400
Plainview, TX 79072-1833

Mailing address

2601 Dimmitt Rd Ste 400
Plainview, TX 79072-1833
Phone (806) 296-9191

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050106000555 TX Part A Provider - Hospital 7911955935 Practice locations: Lubbock, TX; Plainview, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1386691046. Details of each certification follow.

Hospital certification: CCN 454101

Legal name
ALLEGIANCE BEHAVIORAL HEALTH CENTER OF PLAINVIEW, LLC
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Mar 3, 2005
Last certification
Nov 7, 2024
Beds
20
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Incorporated
Nov 24, 2004 in LA
Enrollment address
2601 Dimmitt Rd
Ste 400
Plainview, TX 79072-1833
Main/Primary Hospital Location
Hospital subgroups
Psychiatric

Care Compare: Hospital

Medicare Care Compare
Listed as
Allegiance Behavioral Health Center of PlainviewCCN 454101 · All quality measures
Type
Psychiatric
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1038602Allegiance Behavioral Health Center of Plainview2601 Dimmitt Road, Plainview, TX 79072Certificate of waiverMar 22, 2027

National Provider Directory

National Provider Directory

Locations

1003 S Auburn Ave
Lubbock, TX 79403
Phone (806) 746-5900

2207 W 24th St
Plainview, TX 79072
Phone (806) 293-9898

2601 Dimmitt Rd
#400
Plainview, TX 79072

Ownership & related parties

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Donald Cameron Individual Corporate Director Dec 1, 2008
Whitlee Russell Individual W-2 Managing EmployeeAd; Feb 1, 2023
Rock Bordelon Individual 5% Or Greater Direct Ownership InterestGoverning Board/Director Dec 1, 2004 70%
Corporate DirectorGoverning Board/Director Dec 1, 2004
Operational/Managerial ControlGoverning Board/Director Dec 1, 2004
Allegiance Health Management Inc Organization, Shreveport, LA Corporation, Management services company Operational/Managerial Control Jan 1, 2005 100%
Five Daughters Inc Organization, Shreveport, LA Corporation 5% Or Greater Direct Ownership Interest Dec 6, 2006 10%
Scott Markstrom Individual Corporate Director May 2, 2014
Timothy Jason Reed Individual 5% Or Greater Direct Ownership InterestGoverning Board/Director Aug 14, 2019 20%
Corporate DirectorGoverning Board/Director Aug 14, 2019
Operational/Managerial ControlGoverning Board/Director Aug 14, 2019

Facilities with the same owner 48

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 48

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661990400000",
    "number": "1386691046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 DIMMITT RD STE 400",
            "city": "PLAINVIEW",
            "state": "TX",
            "postal_code": "790721833",
            "telephone_number": "806-296-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 DIMMITT RD",
            "address_2": "SUITE 400",
            "city": "PLAINVIEW",
            "state": "TX",
            "postal_code": "790721833",
            "telephone_number": "806-296-9191",
            "fax_number": "806-296-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEGIANCE BEHAVIORAL HEALTH CENTER OF PLAINVIEW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A",
        "authorized_official_last_name": "BORDELON",
        "authorized_official_first_name": "ROCK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "318-226-8202",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "TX",
            "license": "008160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainview, TX

Sources for this page

Verify at the official NPI Registry.