NPIMap

Organization Active NPI

Lubbock Regional MHMR Center

  • Intellectual Disabilities Intermediate Care Facility
  • Lubbock, TX
National Provider Identifier
1881801827
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
LUBBOCK REGIONAL MHMR CENTER
Practice address
6306 34TH St
Lubbock, TX 79407-2838
Phone
(806) 766-0310
Fax
(806) 744-9580
NPI assigned
May 17, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Danette Castle
Title
Ceo
Phone
(806) 766-0310

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X Primary

Addresses

Primary practice location

6306 34TH St
Lubbock, TX 79407-2838

Mailing address

1602 10TH St
Lubbock, TX 79401-2607
Phone (806) 766-0310

Other identifiers 1

IdentifierTypeStateIssuer
765501OtherTXICFMR CONTRACT NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Lubbock Reg MHMR Center11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881801827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 10TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794012607",
            "telephone_number": "806-766-0310",
            "fax_number": "806-744-9580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6306 34TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794072838",
            "telephone_number": "806-766-0310",
            "fax_number": "806-744-9580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUBBOCK REGIONAL MHMR CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CASTLE",
        "authorized_official_first_name": "DANETTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "806-766-0310"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ICFMR CONTRACT NUMBER",
            "identifier": "765501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 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.