NPIMap

Organization Active NPI

Sabine Valley Regional MHMR Center

Doing business as Sabine Valley Center

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Longview, TX
National Provider Identifier
1467676544
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
SABINE VALLEY REGIONAL MHMR CENTER
Doing business as
Sabine Valley Center
Practice address
107 Woodbine PL
Longview, TX 75601-2912
Phone
(903) 758-2471
Fax
(903) 234-0862
NPI assigned
Apr 12, 2007
Last updated
Aug 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Authorized official

Name
Rosemary O Villarreal, PESC
Title
Provider Enrollment/Credentialing
Phone
(903) 234-4226

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X NU Primary

Addresses

Primary practice location

107 Woodbine PL
Longview, TX 75601-2912

Mailing address

PO Box 6800
Longview, TX 75608-6800
Phone (903) 758-2471

Other identifiers 1

IdentifierTypeStateIssuer
001007205OtherTXCONTRACT NUMBER

Other names 1

  • Sabine Valley Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sabine Valley Center14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692144000000",
    "number": "1467676544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6800",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756086800",
            "telephone_number": "903-758-2471",
            "fax_number": "903-234-0862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 WOODBINE PL",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756012912",
            "telephone_number": "903-758-2471",
            "fax_number": "903-234-0862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SABINE VALLEY REGIONAL MHMR CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A",
        "authorized_official_last_name": "VILLARREAL",
        "authorized_official_first_name": "ROSEMARY",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT/CREDENTIALING",
        "authorized_official_telephone_number": "903-234-4226",
        "authorized_official_credential": "PESC"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTRACT NUMBER",
            "identifier": "001007205",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sabine Valley Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sabine Valley Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 16, 2023; 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.