GULF BEND MRMR CENTER HCS PROGRAM – NPI #1285668541
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

GULF BEND MRMR CENTER HCS PROGRAM is a community based residential treatment facility located in VICTORIA, TX. NPPES has assigned the NPI number 1285668541 to GULF BEND MRMR CENTER HCS PROGRAM on July 10, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

The NPI profile was previously updated about 17 years ago on Aug 28, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GULF BEND MRMR CENTER HCS PROGRAM below.

NPI Profile for
GULF BEND MRMR CENTER HCS PROGRAM

NPI Number
1285668541
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GULF BEND MRMR CENTER HCS PROGRAM
Primary location
6502 NURSERY DR
SUITE 100
VICTORIA, TX 77904-1178
Phone: (361) 575-0611 Fax: (361) 582-2323
Mailing address
6502 NURSERY DR.
SUITE 100
VICTORIA, TX 77904-4112
Phone: (361) 575-0611 Fax: (361) 582-2329
Organization Subpart
No
Authorized Official
DONALD POLZIN
EXECUTIVE DIRECOTR
Phone: (361) 575-0611
Updated
Identifiers

Identifiers for GULF BEND MRMR CENTER HCS PROGRAM

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERCONTRACT NUMBERTX001007430
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320900000X
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.