Active NPI
James E. Ryan
Doing business as Agnes Dent Homes III
- Mental Illness Intermediate Care Facility
- Lubbock, TX
National Provider Identifier
1609136944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Intermediate Care Facility
- 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, 2012
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.