Lubbock State Supported Living Center – Intellectual Disabilities Intermediate Care Facility, NPI 1649363326

Lubbock State Supported Living Center is a healthcare provider. based in Lubbock, Texas. specializing in Intellectual Disabilities Intermediate Care Facility. The NPI Number for Lubbock State Supported Living Center is 1649363326

Main info

Organization
Name
Lubbock State Supported Living Center
NPI
1649363326
Phone
(806) 763-7041
Address
PO BOX 5396
Authorized Official
SCOTT SCHALCHLIN ASSOCIATE COMMISSIONER
Enumeration Date
2 October 2006
Last Update Date
5 February 2018
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness80
Years active:19State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Lubbock State Supported Living Center

  • Lubbock Post Office, 1515, Crickets Avenue, Lubbock, Lubbock County, Texas, 79402, United States

    LUBBOCK, TX 794085396

    Phone: (806) 763-7041

    Fax: (806) 741-3604

    Type: Mailing

  • Lubbock State Supported Living Center, 3401, North University Avenue, Lubbock, Lubbock County, Texas, 79415, United States

    LUBBOCK, TX 794151734

    Phone: (806) 763-7041

    Fax: (806) 741-3604

    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.

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 79408)

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Reviews

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Frequently asked questions

How is Lubbock State Supported Living Center identified in CMS data?
CMS-hosted NPPES data lists Lubbock State Supported Living Center with NPI 1649363326.
Does the file indicate Lubbock State Supported Living Center is practicing under active NPI?
Directory data currently reports Lubbock State Supported Living Center as active.
What is Lubbock State Supported Living Center's specialty?
The listing groups Lubbock State Supported Living Center with Intellectual Disabilities Intermediate Care Facility. Clinical services aligned with this taxonomy classification.
Where is Lubbock State Supported Living Center based?
Lubbock State Supported Living Center is tied to Lubbock, Texas in the data we show; additional addresses may exist on the full record.
Why does Lubbock State Supported Living Center have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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