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AMAZING LIVING HCS LLC NPI 1871879775


NPI Information

NPI: 1871879775
Provider Name: AMAZING LIVING HCS, LLC
Classification: Respite Care - 385HR2060X
Entity Type: Organization

Specialization: Respite Care, Intellectual and/or Developmental Disabilities

Address:
2206 JAHAN TRL
LONGVIEW, TX
ZIP 75604
Phone: (903) 917-1115
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AMAZING LIVING HCS, LLC is a respite care and mental retardation and/or developmental disabilities respite care in Longview, TX. The provider is a facility or distinct part of a facility that provides short term, residential care to children, diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers. AMAZING LIVING HCS, LLC NPI is 1871879775. The provider is registered as an organization entity type.

The provider's business location address is:

2206 JAHAN TRL
LONGVIEW, TX
ZIP 75604-521
Phone: (903) 917-1115
Fax: (888) 474-6401

The provider's authorized official is Tristan Joseph Hogan .
The authorized official title is Program Manager/owner and has the following contact phone number (903) 917-1115.

The enumeration date for this NPI number is 10/24/2011 and was last updated on 10/24/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo
2385HR2060XRespite CareRespite Care, Intellectual and/or Developmental DisabilitiesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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