Breckenridge Village Mallard House – Intellectual Disabilities Intermediate Care Facility, NPI 1245427947

Breckenridge Village Mallard House is a healthcare provider. based in Tyler, Texas. specializing in Intellectual Disabilities Intermediate Care Facility. The NPI Number for Breckenridge Village Mallard House is 1245427947

Main info

Organization
Name
Breckenridge Village Mallard House
NPI
1245427947
Phone
(903) 956-8100
Address
15062 COUNTY ROAD 1145
Authorized Official
KEVIN KING EXECUTIVE DIRECTOR
Enumeration Date
27 September 2007
Last Update Date
26 August 2019
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness80
Years active:18State licenses:0Digital endpointsUpdated within 12 months

Loading map...

Provider Addresses for Breckenridge Village Mallard House

  • County Road, Tyler County, Texas, United States

    TYLER, TX 757047516

    Phone: (903) 956-8100

    Fax: (903) 596-8104

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

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

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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 75704)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Does Breckenridge Village Mallard House share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Breckenridge Village Mallard House uses 1245427947.
Does the file indicate Breckenridge Village Mallard House is practicing under active NPI?
Directory data currently reports Breckenridge Village Mallard House as active.
What is Breckenridge Village Mallard House's primary classification?
Intellectual Disabilities Intermediate Care Facility is the headline specialty for Breckenridge Village Mallard House here. Clinical services aligned with this taxonomy classification.
What address line appears for Breckenridge Village Mallard House?
Breckenridge Village Mallard House's geographic hint is Tyler, Texas in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

Similar Providers

COMMUNITY ACCESS, INC

Intellectual Disabilities Intermediate Care Facility
2040, Shiloh Road, Tyler, Smith County, Texas, 75703, United States
NPI: 1578631024

CREATIVE COMMUNITY CARE

Intellectual Disabilities Intermediate Care Facility
1611 E 5TH ST
NPI: 1992844757

HTX NORTHWEST VILLA

Intellectual Disabilities Intermediate Care Facility
15062 County Road 1145
NPI: 1023138062

Breckenridge Village of Tyler

Intellectual Disabilities Intermediate Care Facility
County Road, Tyler County, Texas, United States
NPI: 1477748010

2812 Shaffer Lane

Intellectual Disabilities Intermediate Care Facility
4800 OVERTON PLZ STE 440
NPI: 1104427509

3600 New Copeland Road

Intellectual Disabilities Intermediate Care Facility
4800 OVERTON PLZ STE 440
NPI: 1487255873

3323 Gail Lane

Intellectual Disabilities Intermediate Care Facility
4800 OVERTON PLZ STE 440
NPI: 1225639271

2525 Preston Avenue

Intellectual Disabilities Intermediate Care Facility
4800 OVERTON PLZ STE 440
NPI: 1568063527