NPIMap

Organization Active NPI

D&S Residential Services, LP

Doing business as Chad Community Home

  • Intellectual Disabilities Intermediate Care Facility
  • Longview, TX
National Provider Identifier
1538375290
Registry record updated Mar 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
000760802 Issued in TX
Legal business name
D&S RESIDENTIAL SERVICES, LP
Doing business as
Chad Community Home
Practice address
1202 Chad
Longview, TX 75604
Phone
(903) 291-9774
Fax
(512) 327-5355
NPI assigned
May 16, 2007
Last updated
Mar 4, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
D&S RESIDENTIAL HOLDINGS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 4, 2023

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

Authorized official

Name
Brett Ian Cohen
Title
Coo
Phone
(800) 388-5150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 000760802 TX Primary

Addresses

Primary practice location

1202 Chad
Longview, TX 75604

Mailing address

8911 North Capital of Texas Highway
Building 1, Suite 1300
Austin, TX 78759-7203
Phone (512) 327-2325

Other identifiers 1

IdentifierTypeStateIssuer
000760802MedicaidTX

Other names 1

  • Chad Community Home Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1538375290. Details of each certification follow.

  • CCN 45H154 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 45H154

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
CHAD COMMUNITY HOME
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Jun 8, 1994
Last certification
Oct 2, 2025
Beds
6
Ownership / control type
Private (proprietary)
Facility address
1202 Chad
Longview, TX 75604

National Provider Directory

National Provider Directory
Tax ID family
DS Residential Services LP77 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

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": "1677888000000",
    "number": "1538375290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8911 NORTH CAPITAL OF TEXAS HIGHWAY",
            "address_2": "BUILDING 1, SUITE 1300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787597203",
            "telephone_number": "512-327-2325",
            "fax_number": "512-263-2161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 CHAD",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "75604",
            "telephone_number": "903-291-9774",
            "fax_number": "512-327-5355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D&S RESIDENTIAL SERVICES, LP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "D&S RESIDENTIAL HOLDINGS, LLC",
        "enumeration_date": "2007-05-16",
        "last_updated": "2023-03-04",
        "certification_date": "2023-03-04",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "IAN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "800-388-5150"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "TX",
            "license": "000760802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000760802",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chad Community Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Longview, TX

Sources for this page

Verify at the official NPI Registry.