Beverly – Mental Illness Intermediate Care Facility, NPI 1396700423

Beverly is a healthcare provider. based in San antonio, Texas. specializing in Mental Illness Intermediate Care Facility. The organization holds a License No. 007599 (TX). The NPI Number for Beverly is 1396700423

Main info

Organization
Name
Beverly
NPI
1396700423
Phone
(210) 340-7155
Address
845 PROTON RD
Authorized Official
MR. MIKE HAWKER II CFO
Enumeration Date
20 April 2006
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness80
Years active:20State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Beverly

  • Proton Road, San Antonio, Bexar County, Texas, 78232-1341, United States

    SAN ANTONIO, TX 782584203

    Phone: (210) 340-7155

    Type: Mailing

  • Loop Drive, Greggton, Longview, Gregg County, Texas, 75604, United States

    LONGVIEW, TX 756026704

    Phone: (903) 753-1979

    Fax: (903) 753-7485

    Type: Location

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

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 78258)

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Reviews

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Frequently asked questions

Is Beverly listed with a National Provider Identifier?
Yes — Beverly has NPI 1396700423 on file in the registry.
Would Beverly appear as active to a payer?
You can treat Beverly as active for directory purposes; confirm clinical privileges separately.
How would a patient describe Beverly's focus?
For Beverly, the primary taxonomy reads as Mental Illness Intermediate Care Facility. Clinical services aligned with this taxonomy classification.
Is Beverly associated with San Antonio?
Public fields place Beverly around San Antonio, Texas. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for Beverly is noted as April 20, 2006 where the registry provides it.

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