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NPI 1588692354ActiveOrganization· Intermediate Care Facility, Intellectual Disabilities· Jacksonville, TX
Intermediate Care Facility, Intellectual Disabilities in Jacksonville, Texas, registered in NPPES in June 2006. The authorized official on file is Allyn Lang, Executive Director.
Overview
| NPI | 1588692354 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 29, 2006 |
| Last updated in NPPES | Jun 13, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Intermediate Care Facility, Intellectual Disabilities Primary | 315P00000X | 45H262 | TX |
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 |
|---|
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