Organization Active NPI

Living Hope Texarkana, LLC

  • Psychiatric Hospital
  • Texarkana, TX
National Provider Identifier
1972539674
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
LIVING HOPE TEXARKANA, LLC
Practice address
1000 Pine St
5TH Floor
Texarkana, TX 75501-5100
Phone
(903) 793-4673
Fax
(903) 791-8385
NPI assigned
Jun 24, 2006
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
Mr. David Kimbro Stephens
Title
Owner
Phone
(903) 748-9421

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X NU Primary

Addresses

Primary practice location

1000 Pine St
5TH Floor
Texarkana, TX 75501-5100

Mailing address

1111 Hazel St
Texarkana, TX 75501-5229
Phone (903) 791-8388

National Provider Directory

National Provider Directory

Locations

1000 Pine St
Fl 5
Texarkana, TX 75501
Phone (903) 793-4673

1111 Hazel St
Texarkana, TX 75501
Phone (903) 791-8388

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972539674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 HAZEL ST",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755015229",
            "telephone_number": "903-791-8388",
            "fax_number": "903-791-8385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 PINE ST",
            "address_2": "5TH FLOOR",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755015100",
            "telephone_number": "903-793-4673",
            "fax_number": "903-791-8385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING HOPE TEXARKANA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "KIMBRO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-748-9421",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Texarkana, 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.