NPIMap

Organization Active NPI

Sabine Valley Regional MHMR Center

Doing business as Sabine Valley Center

  • Case Management Agency
  • Longview, TX
National Provider Identifier
1932225893
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
SABINE VALLEY REGIONAL MHMR CENTER
Doing business as
Sabine Valley Center
Practice address
107 Woodbine PL
Longview, TX 75601-2912
Phone
(903) 758-2471
Fax
(903) 234-0862
NPI assigned
Mar 22, 2007
Last updated
Aug 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Authorized official

Name
Rosemary O Villarreal, PESC
Title
Credentialing Specialist
Phone
(903) 234-4226

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

107 Woodbine PL
Longview, TX 75601-2912

Mailing address

107 Woodbine PL
Longview, TX 75601-2912
Phone (903) 758-2471

Other identifiers 4

IdentifierTypeStateIssuer
60S9431IOtherTXCLASS CONTRACT NUMBER
001015934OtherTXCLASS VENDOR NUMBER
1932225893OtherTXCLASS CONTRACT NUMBER
001014496OtherTXCLASS VENDOR NUMBER

Other names 1

  • Sabine Valley Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sabine Valley Center14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692144000000",
    "number": "1932225893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 WOODBINE PL",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756012912",
            "telephone_number": "903-758-2471",
            "fax_number": "903-234-0862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 WOODBINE PL",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756012912",
            "telephone_number": "903-758-2471",
            "fax_number": "903-234-0862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SABINE VALLEY REGIONAL MHMR CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A",
        "authorized_official_last_name": "VILLARREAL",
        "authorized_official_first_name": "ROSEMARY",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "903-234-4226",
        "authorized_official_credential": "PESC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLASS CONTRACT NUMBER",
            "identifier": "60S9431I",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLASS VENDOR NUMBER",
            "identifier": "001015934",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLASS CONTRACT NUMBER",
            "identifier": "1932225893",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLASS VENDOR NUMBER",
            "identifier": "001014496",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sabine Valley Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sabine Valley Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Longview, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.