Northview Development Center

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

123425 Issued in TX

Legal business name

NORTHVIEW DEVELOPMENT CENTER

Practice address

401 W Moss St
Eastland, TX 76448-1754

Phone

(254) 629-2624

Fax

(254) 629-3950

NPI assigned

Jul 9, 2008

Last updated

Jul 17, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Patsy Wilson

Title

Administrator

Phone

(254) 629-2624

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1790948842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 148",
            "city": "EASTLAND",
            "state": "TX",
            "postal_code": "764480148",
            "telephone_number": "254-629-2624",
            "fax_number": "254-629-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W MOSS ST",
            "city": "EASTLAND",
            "state": "TX",
            "postal_code": "764481754",
            "telephone_number": "254-629-2624",
            "fax_number": "254-629-3950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHVIEW DEVELOPMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-09",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "PATSY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "254-629-2624"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "TX",
            "license": "123425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Melgren
• Alan Bart Mickish, M.D.
• Lisa Rhea Morrow, LAC, DIPL. OM
• Tung Dinh Nguyen, PHARM. D
• Pei-Ching Ni, C.R.N.A.
• Bethany Grace Odom
• Ankur Harshad Patel
• Bethany Pierce, MD
• Brooke Rawlings, PT, DPT
• Robert Deluca, D.O,, P.a.

• Intellectual Disabilities Intermediate Care Facility in Eastland, TX
• Providers in Eastland, 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 Jul 17, 2008; 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.