Pueblo Residential Services LTD

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

115628 Issued in TX

Legal business name

PUEBLO RESIDENTIAL SERVICES LTD

Practice address

1317 Lawyers LN
Abilene, TX 79602-1912

Phone

(325) 673-2559

Fax

(325) 673-2559

NPI assigned

May 8, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Wallace Parsons

Title

Administrator

Phone

(253) 345-8273

Specialties & licenses 1

Addresses

Other names 1

• Lawyer's Place Other name

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700099314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 LAWYERS LN",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796021912",
            "telephone_number": "325-673-2559",
            "fax_number": "325-673-2559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 LAWYERS LN",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796021912",
            "telephone_number": "325-673-2559",
            "fax_number": "325-673-2559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUEBLO RESIDENTIAL SERVICES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PARSONS",
        "authorized_official_first_name": "WALLACE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "253-345-8273",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "TX",
            "license": "115628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lawyer's Place",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Intellectual Disabilities Intermediate Care Facility in Abilene, TX
• Providers in Abilene, TX by specialty
• Intellectual Disabilities Intermediate Care Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.