SABINE VALLEY REGIONAL MHMR CENTER (NPI# 1912120734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912120734 |
| Entity Type | Organization |
| Organization Name | SABINE VALLEY REGIONAL MHMR CENTER |
| Other Organization Name | SABINE VALLEY CENTER |
| Practice Address |
414 S Center St Longview TX 75601-7409 |
| Mailing Address |
Po Box 6800 Longview TX 75608-6800 |
| Practice Telephone | 9037576040 |
| Mailing Telephone | 9037582471 |
| Mailing Fax Number | 9032340862 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | STEPHANIE TODD (BILLING SPECIALIST) |
| Authorized Official Telephone | 9032372346 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Sabine Valley Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750505830 | Sabine Valley Regional Mhmr Center | Intermediate Care Facility, Mentally Retarded | 303 Evergreen Dr, Longview, TX 75604-1728 | 2007-04-12 |
| 1285857003 | Sabine Valley Regional Mhmr Center | Intermediate Care Facility, Mentally Retarded | 112 Cherie Ln, Longview, TX 75604-3274 | 2007-04-10 |
| 1114048956 | Sabine Valley Regional Mhmr Center | Intermediate Care Facility, Mentally Retarded | 220 Nimitz St, Longview, TX 75602-5377 | 2007-04-02 |
| 1841311743 | Sabine Valley Regional Mhmr Center | Intermediate Care Facility, Mentally Retarded | 3704 Terilynn Dr, Longview, TX 75604-1027 | 2007-04-02 |
| 1841835022 | Sabine Valley Regional Mhmr Center | Family Medicine | 107 Woodbine Pl, Longview, TX 75601-2912 | 2019-11-12 |
| 1235598806 | Sabine Valley Regional Mhmr Center | Clinic/Center | 701 E Marshall Ave, Suite 310, Longview, TX 75601-5659 | 2016-02-11 |
| 1568788107 | Sabine Valley Regional Mhmr Center | Clinic/Center | 107 Woodbine Pl, Longview, TX 75601-2912 | 2010-04-07 |
| 1992945836 | Sabine Valley Regional Mhmr Center | Home Health | 107 Woodbine Pl, Longview, TX 75601-2912 | 2009-03-05 |
| 1467676544 | Sabine Valley Regional Mhmr Center | Community Based Residential Treatment Facility, Mental Illness | 107 Woodbine Pl, Longview, TX 75601-2912 | 2007-04-12 |
| 1376767459 | Sabine Valley Regional Mhmr Center | Community/Behavioral Health | 107 Woodbine Pl, Longview, TX 75601-2912 | 2007-04-12 |
| Street Address |
414 S CENTER ST |
| City | LONGVIEW |
| State | TX |
| Zip Code | 75601-7409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992351076 | Stebbins Hospice LLC | Hospice Care, Community Based | 600-602 E. Whaley, Longview, TX 75601 | 2019-08-14 |
| 1720437692 | J.l. Miguez, Inc. | Hearing Aid Equipment | 822 N 4th Street, Longview, TX 75601 | 2016-06-10 |
| 1801244090 | Voyage Medical Solutions, LLC | Durable Medical Equipment & Medical Supplies | 111 W Tyler St, Longview, TX 75601 | 2016-05-27 |
| 1134504426 | Siobain Kay Rogers | Nurse Practitioner | 703 E Marshall Ave Ste 4003, Longview, TX 75601 | 2015-07-28 |
| 1669882882 | Snehal Shrivastava | Internal Medicine | 1402 N 4th St Ste 300, Longview, TX 75601 | 2014-04-28 |
| 1679824221 | Jennifer Ruth Williams | Occupational Therapist | 110 E Tyler St, Longview, TX 75601 | 2012-09-23 |
| 1548525603 | Candice Renee Ramos | Social Worker | 950 N Sixth St, Longview, TX 75601 | 2012-07-05 |
| 1497082747 | Jarett S Harkness | Pharmacist | 511 E. Marshall Avenue, Longview, TX 75601 | 2009-11-06 |
| 1407086333 | Udeme Ekpenyong | Pediatrics | 818 N. 4th St., Longview, TX 75601 | 2009-07-27 |
| 1386823359 | Assisted Living Concepts Inc | Assisted Living Facility | 2104 Alpine Road, Longview, TX 75601 | 2007-10-26 |
| Find all providers in zip 75601 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538375290 | D&s Residential Services | Intermediate Care Facility, Mentally Retarded | 1202 Chad, Longview, TX 75604 | 2007-05-16 |
| 1790991461 | D&s Residential Services | Intermediate Care Facility, Mentally Retarded | 1009 Thelma, Longview, TX 75604 | 2007-05-16 |
| 1699981357 | D&s Residential Services | Intermediate Care Facility, Mentally Retarded | #9 Honeysuckle, Longview, TX 75604 | 2007-05-16 |
| 1750505830 | Sabine Valley Regional Mhmr Center | Intermediate Care Facility, Mentally Retarded | 303 Evergreen Dr, Longview, TX 75604-1728 | 2007-04-12 |
| 1285857003 | Sabine Valley Regional Mhmr Center | Intermediate Care Facility, Mentally Retarded | 112 Cherie Ln, Longview, TX 75604-3274 | 2007-04-10 |
| 1114048956 | Sabine Valley Regional Mhmr Center | Intermediate Care Facility, Mentally Retarded | 220 Nimitz St, Longview, TX 75602-5377 | 2007-04-02 |
| 1841311743 | Sabine Valley Regional Mhmr Center | Intermediate Care Facility, Mentally Retarded | 3704 Terilynn Dr, Longview, TX 75604-1027 | 2007-04-02 |
| 1023156726 | Evergreen Presbyterian Ministries of Texas, Inc. | Intermediate Care Facility, Mentally Retarded | 225 Syble Ln, Longview, TX 75605-9251 | 2007-02-02 |
| 1174669121 | Evergreen Presbyterian Ministries of Texas, Inc. | Intermediate Care Facility, Mentally Retarded | 1205 Stone Trail St, Longview, TX 75604-3533 | 2007-01-29 |
| 1568481638 | L-m-r Health Care Services Inc | Intermediate Care Facility, Mentally Retarded | 2912 Clendenen, Longview, TX 75601 | 2006-07-19 |
| Find all providers in LONGVIEW | ||||
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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.