NPIMap

Organization Active NPI

Lakes Regional Mental Health Mental Retardation Center

Doing business as Lakes Regional Community Center

  • Case Management Agency
  • Terrell, TX
National Provider Identifier
1477769263
Registry record updated Dec 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
LAKES REGIONAL MENTAL HEALTH MENTAL RETARDATION CENTER
Doing business as
Lakes Regional Community Center
Practice address
400 Airport Rd
Terrell, TX 75160-4302
Phone
(972) 524-4159
Fax
(972) 388-2009
NPI assigned
May 16, 2007
Last updated
Dec 10, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2018

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

Authorized official

Name
Erwin Hancock
Title
Cfo
Phone
(972) 524-4159

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

400 Airport Rd
Terrell, TX 75160-4302

Mailing address

400 Airport Rd
Terrell, TX 75160-4302
Phone (972) 524-4159

Other identifiers 1

IdentifierTypeStateIssuer
121988301MedicaidTX

Other names 1

  • Lakes Regional Community Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lakes Regional Community Center12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544400000000",
    "number": "1477769263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 AIRPORT RD",
            "city": "TERRELL",
            "state": "TX",
            "postal_code": "751604302",
            "telephone_number": "972-524-4159",
            "fax_number": "972-388-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 AIRPORT RD",
            "city": "TERRELL",
            "state": "TX",
            "postal_code": "751604302",
            "telephone_number": "972-524-4159",
            "fax_number": "972-388-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKES REGIONAL MENTAL HEALTH MENTAL RETARDATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2018-12-10",
        "status": "A",
        "authorized_official_last_name": "HANCOCK",
        "authorized_official_first_name": "ERWIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "972-524-4159"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121988301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakes Regional Community Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Terrell, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2018; 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.