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Active NPI 1609136944 Organization (Entity Type 2)

James E. Ryan

Intermediate Care Facility, Mental Illness • Lubbock, TX

About James E. Ryan NPI 1609136944 Summary

James E. Ryan is a verified healthcare organization specializing in Intermediate Care Facility, Mental Illness operating in Lubbock, TX. Located at 5322 22ND ST, this facility provides patient care and medical services under National Provider Identifier (NPI) 1609136944.

Administrative operations and authorized compliance are overseen by James Ryan (Administrator/Sole Proprietor).

The facility is associated with 2 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

5322 22nd St

Lubbock, TX 794072117

Telephone 8067979859
Fax 8067853289

Authorized Official Information

Authorized Contact Name

MR. James Ryan

Title / Role

Administrator/sole Proprietor

Official Telephone

8067979859

Facility Classifications & Specialties

Intermediate Care Facility, Mental Illness Primary Taxonomy

NUCC Taxonomy Code: 310500000X

A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

2 Linked
Brandie Fulbright NPI 1811443179

Intermediate Care Facility, Intellectual Disabilities

Lubbock, TX

View Practitioner Profile →
Eugene Bonds NPI 1932512043

Intermediate Care Facility, Intellectual Disabilities

Lubbock, TX

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active August 16, 2012

NPI status registered as active in NPPES database

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Updated Practice Location August 16, 2012

Registered at 5322 22ND ST, LUBBOCK, TX 794072117 (Tel: 8067979859)

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Updated Business Mailing Address August 16, 2012

Registered at 5280 MARSHA SHARP FWY, LUBBOCK, TX 794073524 (Tel: 8067979859)

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Organization / Clinic Name Updated August 16, 2012

Operating as JAMES E. RYAN

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 16, 2012

Intermediate Care Facility, Mental Illness

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Initial NPI Registration & Enumeration May 21, 2012

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

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NPI Organization Metadata

NPI Number: 1609136944
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: May 21, 2012
Last Update: August 16, 2012

Mailing Address

5280 Marsha Sharp Fwy

Lubbock, TX 794073524

Phone: 8067979859

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.