Breckenridge Village of Tyler – Intellectual Disabilities Intermediate Care Facility, NPI 1477748010

Breckenridge Village of Tyler is a healthcare provider. based in Tyler, Texas. specializing in Intellectual Disabilities Intermediate Care Facility. The NPI Number for Breckenridge Village of Tyler is 1477748010

Main info

Organization
Name
Breckenridge Village of Tyler
NPI
1477748010
Phone
(903) 956-8100
Address
15062 COUNTY ROAD 1145
Authorized Official
MELISSA PERKINS PRESIDENT
Enumeration Date
6 September 2007
Last Update Date
28 April 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness80
Years active:18State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Breckenridge Village of Tyler

  • County Road, Tyler County, Texas, United States

    TYLER, TX 757047516

    Phone: (903) 956-8100

    Fax: (903) 956-8104

    Mailing address matches the actual address.

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.

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.

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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 75704)

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Reviews

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Frequently asked questions

Can I verify Breckenridge Village of Tyler with an NPI only?
You can start verification with NPI 1477748010 for Breckenridge Village of Tyler, then check state licensing separately.
Is Breckenridge Village of Tyler listed as active for patients and plans?
The listing shows Breckenridge Village of Tyler as active in the NPI system.
What healthcare role does Breckenridge Village of Tyler hold?
Scheduling teams often label Breckenridge Village of Tyler under Intellectual Disabilities Intermediate Care Facility. Clinical services aligned with this taxonomy classification.
Does Breckenridge Village of Tyler list a practice location?
Patients near Tyler, Texas may find Breckenridge Village of Tyler in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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