Texas Guardian HCS, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

TEXAS GUARDIAN HCS, LLC

Practice address

2884 State Highway 75 S
Centerville, TX 75833

Phone

(832) 527-0220

NPI assigned

Aug 23, 2018

Last updated

Jan 21, 2020By 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

Shelbi Kimbrell

Title

Owner

Phone

(832) 527-0220

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1534982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579564800000",
    "number": "1881175313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2886 STATE HIGHWAY 75 S",
            "city": "CENTERVILLE",
            "state": "TX",
            "postal_code": "758331856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2884 STATE HIGHWAY 75 S",
            "city": "CENTERVILLE",
            "state": "TX",
            "postal_code": "75833",
            "telephone_number": "832-527-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS GUARDIAN HCS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-23",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A",
        "authorized_official_last_name": "KIMBRELL",
        "authorized_official_first_name": "SHELBI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-527-0220"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Centerville, TX
• Providers in Centerville, TX by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.