Breckenridge Village
NPI 1477748010ActiveOrganization· Intermediate Care Facility, Intellectual Disabilities· Tyler, TX
Intermediate Care Facility, Intellectual Disabilities in Tyler, Texas, registered in NPPES in September 2007. The authorized official on file is Melissa Perkins, President.
Overview
| NPI | 1477748010 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 6, 2007 |
| Last updated in NPPES | Apr 28, 2025 |
| Certified by provider | Apr 28, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Intermediate Care Facility, Intellectual Disabilities Primary | 315P00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Intermediate Care Facility, Intellectual Disabilities providers in Tyler
- 1023138062
- 1104427509
- 1124629175
- 1225639271
- 1245427947
- 1487255873
- 1518813377
- 1568063527
- 1578631024
- 1992844757
All Intermediate Care Facility, Intellectual Disabilities providers in Texas