Wedgewood South Assisted Living – Assisted Living Facility, NPI 1053468082

Wedgewood South Assisted Living is a healthcare provider. based in Lubbock, Texas. specializing in Assisted Living Facility. The organization holds a License No. 030086 (TX). The NPI Number for Wedgewood South Assisted Living is 1053468082

Main info

Organization
Name
Wedgewood South Assisted Living
NPI
1053468082
Phone
(806) 798-1011
Address
9812 VINTON AVE
Authorized Official
MR. JOHN BERKELY VICE PRESIDENT SENIOR SERVICES
Enumeration Date
4 January 2007
Last Update Date
12 February 2009
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness80
Years active:19State licenses:4Digital endpointsUpdated within 12 months

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Provider Addresses for Wedgewood South Assisted Living

  • 9812, Vinton Avenue, Lubbock, Lubbock County, Texas, 79424, United States

    LUBBOCK, TX 794246376

    Phone: (806) 798-1011

    Fax: (806) 794-0234

    Type: Location

  • PO BOX 140767

    AUSTIN, TX 787140767

    Phone: (512) 459-1000

    Fax: (512) 452-6855

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 79424)

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Reviews

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Frequently asked questions

What is the registry number for Wedgewood South Assisted Living?
The registry entry for Wedgewood South Assisted Living shows NPI 1053468082.
Is Wedgewood South Assisted Living currently accepting referrals based on NPI status?
Registry metadata lists Wedgewood South Assisted Living as active.
What services align with Wedgewood South Assisted Living's listing?
Wedgewood South Assisted Living's public classification highlights Assisted Living Facility. Clinical services aligned with this taxonomy classification.
Can patients visit Wedgewood South Assisted Living in Lubbock, Texas?
For routing, start with Lubbock, Texas for Wedgewood South Assisted Living, then verify phone and hours locally.
Who maintains Wedgewood South Assisted Living's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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