Organization Active NPI

Marla's Community Living Services, LLC

  • Developmentally Disabled Services Day Training Agency
  • Lubbock, TX
National Provider Identifier
1386982700
Registry record updated Jan 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
MARLA'S COMMUNITY LIVING SERVICES, LLC
Practice address
1408 Texas Ave
Lubbock, TX 79401-4036
Phone
(806) 771-0602
Fax
(806) 771-0658
NPI assigned
Jan 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2013

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

Authorized official

Name
Mary E Watson, M.ED.
Title
Director of Operations
Phone
(806) 771-0602

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

1408 Texas Ave
Lubbock, TX 79401-4036

Mailing address

1408 Texas Ave
Lubbock, TX 79401-4036
Phone (806) 771-0602

National Provider Directory

National Provider Directory

Locations

1408 Texas Ave
Lubbock, TX 79401
Phone (806) 771-0602

NPI Registry JSON

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

{
    "created_epoch": "1358467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358467200000",
    "number": "1386982700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 TEXAS AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794014036",
            "telephone_number": "806-771-0602",
            "fax_number": "806-771-0658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 TEXAS AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794014036",
            "telephone_number": "806-771-0602",
            "fax_number": "806-771-0658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARLA'S COMMUNITY LIVING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-18",
        "last_updated": "2013-01-18",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "806-771-0602",
        "authorized_official_credential": "M.ED."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; 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.