Organization Active NPI

James E. Ryan

Doing business as Agnes Dent Homes III

  • Mental Illness Intermediate Care Facility
  • Lubbock, TX
National Provider Identifier
1609136944
Registry record updated Aug 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Intermediate Care FacilityTaxonomy code 310500000X
Legal business name
JAMES E. RYAN
Doing business as
Agnes Dent Homes III
Practice address
5322 22ND St
Lubbock, TX 79407-2117
Phone
(806) 797-9859
Fax
(806) 785-3289
NPI assigned
May 21, 2012
Last updated
Aug 16, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2012

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

Authorized official

Name
Mr. James Erich Ryan
Title
Administrator/Sole Proprietor
Phone
(806) 797-9859

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Intermediate Care Facility 310500000X Primary

Addresses

Primary practice location

5322 22ND St
Lubbock, TX 79407-2117

Mailing address

5280 Marsha Sharp Fwy
Lubbock, TX 79407-3524
Phone (806) 797-9859

Other names 1

  • Agnes Dent Homes III Doing business as

National Provider Directory

National Provider Directory

Locations

5280 Marsha Sharp Fwy
Lubbock, TX 79407

NPI Registry JSON

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

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345075200000",
    "number": "1609136944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5280 MARSHA SHARP FWY",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794073524",
            "telephone_number": "806-797-9859",
            "fax_number": "806-785-3289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5322 22ND ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794072117",
            "telephone_number": "806-797-9859",
            "fax_number": "806-785-3289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES E. RYAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-21",
        "last_updated": "2012-08-16",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ERICH",
        "authorized_official_title_or_position": "ADMINISTRATOR/SOLE PROPRIETOR",
        "authorized_official_telephone_number": "806-797-9859",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Agnes Dent Homes III",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 16, 2012; 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.