NPIMap

Organization Active NPI

Health and Human Services Commission

  • Intellectual Disabilities Intermediate Care Facility
  • Denton, TX
National Provider Identifier
1659464204
Registry record updated Feb 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
HEALTH AND HUMAN SERVICES COMMISSION
Practice address
3980 State School Rd
Denton, TX 76210-8823
Phone
(940) 591-0342
Fax
(940) 591-3300
NPI assigned
Oct 2, 2006
Last updated
Feb 5, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2018

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

Authorized official

Name
Scott Schalchlin
Title
Associate Commissioner
Phone
(512) 438-3076

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X TX Primary
Nurse Practitioner 363L00000X TX
Family Medicine Physician 207Q00000X TX
Internal Medicine Physician 207R00000X TX
Psychiatry Physician 2084P0800X TX

Addresses

Primary practice location

3980 State School Rd
Denton, TX 76210-8823

Mailing address

PO Box 368
Denton, TX 76202-0368
Phone (940) 591-3042

Other identifiers 1

IdentifierTypeStateIssuer
000710201MedicaidTX

Other names 1

  • Denton State Supported LIving Center Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170908001058 TX Part B Supplier - Clinic/Group Practice 2163795824 Receives reassigned benefits from 462 practitioners
22 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lubbock, TX; Mexia, TX; Pollock, TX; Richmond, TX; Rusk, TX; San Antonio, TX; Terrell, TX; Vernon, TX…

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1659464204. Details of each certification follow.

  • CCN 45G004 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 45G004

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
DENTON STATE SUPPORTED LIVING CENTER
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Oct 14, 1982
Last certification
Dec 13, 2024
Beds
716
Ownership / control type
State
Facility address
3980 State School Rd
Denton, TX 76210

Other NPIs on the same Medicare enrollment 22

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 22

National Provider Directory

National Provider Directory
Tax ID family
HHSC Wic Program56 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

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517788800000",
    "number": "1659464204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 368",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762020368",
            "telephone_number": "940-591-3042",
            "fax_number": "940-591-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3980 STATE SCHOOL RD",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762108823",
            "telephone_number": "940-591-0342",
            "fax_number": "940-591-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH AND HUMAN SERVICES COMMISSION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2018-02-05",
        "status": "A",
        "authorized_official_last_name": "SCHALCHLIN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "ASSOCIATE COMMISSIONER",
        "authorized_official_telephone_number": "512-438-3076"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "TX",
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000710201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Denton State Supported LIving Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Denton State Supported LIving Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Denton, TX

Sources for this page

Verify at the official NPI Registry.