VICTORIA OF TEXAS LP (NPI# 1427338508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427338508 |
| Entity Type | Organization |
| Organization Name | VICTORIA OF TEXAS LP |
| Other Organization Name | DETAR HEALTHCARE SYSTEM |
| Practice Address |
101 Medical Dr Victoria TX 77904-3102 |
| Practice Telephone | 3615736100 |
| Mailing Telephone | 3615736100 |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2018-04-12 |
| Authorized Official Name | PAULA LALOR (DIRECTOR/DELEGATED OFFICIAL) |
| Authorized Official Telephone | 6159254565 |
| Is Organization Subpart | Y |
| Parent Organization Name | VICTORIA OF TEXAS LP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | Hospital Units |
| Other Name | Type Code |
|---|---|
| DeTar Healthcare System | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851343909 | Victoria of Texas Lp | Clinic/Center | 506 E San Antonio St, Victoria, TX 77901-6060 | 2006-05-17 |
| 1578180725 | Victoria of Texas Lp | Medicare Defined Swing Bed Unit | 506 E San Antonio St, Victoria, TX 77901-6060 | 2020-07-02 |
| 1003141128 | Victoria of Texas Lp | General Acute Care Hospital | 506 E San Antonio St, Victoria, TX 77901-6060 | 2009-10-07 |
| 1952636060 | Victoria of Texas Lp | Clinic/Center | 506 E San Antonio St, Victoria, TX 77901-6060 | 2009-10-07 |
| 1740485697 | Victoria of Texas Lp | Emergency Medicine | 101 Medical Dr, Victoria, TX 77904-3102 | 2007-06-20 |
| 1619172467 | Victoria of Texas Lp | Family Medicine | 605 E San Antonio St, Suite 310e, Victoria, TX 77901-6040 | 2007-06-20 |
| 1558453902 | Victoria of Texas Lp | Dietitian, Registered | 506 E San Antonio St, Victoria, TX 77901-6060 | 2006-09-29 |
| 1265487706 | Victoria of Texas Lp | Skilled Nursing Facility | 605 E San Antonio St, Victoria, TX 77901-6050 | 2006-05-23 |
| 1053366625 | Victoria of Texas Lp | Rehabilitation Unit | 506 E San Antonio St, Victoria, TX 77901-6060 | 2006-05-23 |
| Street Address |
101 MEDICAL DR |
| City | VICTORIA |
| State | TX |
| Zip Code | 77904-3102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942468541 | Sartaj Kadiwala Siddiqui | Pediatrics | 101 Medical Dr, Victoria, TX 77904-3102 | 2008-05-30 |
| 1740485697 | Victoria of Texas Lp | Emergency Medicine | 101 Medical Dr, Victoria, TX 77904-3102 | 2007-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528600384 | Bertha P Mendieta | Physician Assistant | Citizens Victoria Surgical Associates, 2705 Hospital Drive Suite 400, Building B, Victoria, TX 77904 | 2019-10-14 |
| 1952968901 | Eliza Welder | Counselor | 6502 Nursery Dr. Suite, Suite 100, Victoria, TX 77904 | 2019-05-24 |
| 1154806529 | Tammy Lynn Hogan | Counselor | 4702 N. Laurent Ste D, Victoria, TX 77904 | 2018-10-01 |
| 1740724939 | Sarah Ritchea | Counselor | 6502 Nursery Dr. Suite 100, Victoria, TX 77904 | 2016-12-07 |
| 1992177489 | World of Words Speech & Feeding Services, LLC | Speech-Language Pathologist | 120 Appaloosa Dr., Victoria, TX 77904 | 2015-10-23 |
| 1396115739 | Katelin Mcvey | Physician Assistant | 106 Springwood Drive, Suite 100, Victoria, TX 77904 | 2015-09-28 |
| 1689070062 | Jeremy M Thompson Dds Ms Pllc | Clinic/Center | 103 Professional Park Driv, Victoria, TX 77904 | 2014-11-12 |
| 1265864144 | Pf Development 23, LLC | Hospice Care, Community Based | 1501 E Mockingbird Ln Ste 301b, Victoria, TX 77904 | 2013-08-02 |
| 1053669762 | Victoria Dentistry, Pllc | Dentist | 8809 North Navarro, Ste.100, Victoria, TX 77904 | 2012-08-28 |
| 1508126442 | Ayo Adu, M.d., Pllc | Family Medicine | 9410 Ne Zac Lentz Parkway, Suite 200, Victoria, TX 77904 | 2012-05-25 |
| Find all providers in zip 77904 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184159725 | Veterans Administration | Psychiatric Unit | 4455 Horizon Hill, San Antonio, TX 78229 | 2017-04-20 |
| 1356730345 | Magellan | Psychiatric Unit | 1200 Barton Hills Dr Apt 260, Austin, TX 78704-1913 | 2015-01-14 |
| 1528314499 | Michael E. Debakey Va Medical Center | Psychiatric Unit | 3109 W Oaks Blvd, Pearland, TX 77584-8395 | 2012-07-30 |
| 1174882369 | John Adams, Md Psychiatry Pllc | Psychiatric Unit | 17720 Corporate Woods Drive, San Antonio, TX 78259 | 2012-05-09 |
| 1396055547 | Fdpp Inc | Psychiatric Unit | 9275 Richmond Ave, Suite 103, Houston, TX 77063-3951 | 2010-10-20 |
| 1043449143 | Bay Area Healthcare Group, Ltd. | Psychiatric Unit | 13725 Northwest Boulevard, Corpus Christi, TX 78410-5127 | 2009-07-09 |
| 1194953737 | Tis-therapeutic Intervention Services | Psychiatric Unit | 6715 Seinfeld Ct, Houston, TX 77069-1725 | 2009-06-22 |
| 1093955296 | Aspire Hospital, LLC | Psychiatric Unit | 2006 S Loop 336 W, # 500, Conroe, TX 77304-3315 | 2009-02-27 |
| 1619149234 | North Quaker Hospital, Lp | Psychiatric Unit | 4302 Princeton Street, Second Floor, Lubbock, TX 79415-1304 | 2008-03-25 |
| 1568657583 | Day Surgery At Renaissance, LLC | Psychiatric Unit | 5510 Raphael Dr, Edinburg, TX 78539-1407 | 2007-09-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.