JAMES E. RYAN (NPI# 1609136944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609136944 |
| Entity Type | Organization |
| Organization Name | JAMES E. RYAN |
| Other Organization Name | AGNES DENT HOMES III |
| Practice Address |
5322 22nd St Lubbock TX 79407-2117 |
| Mailing Address |
5280 Marsha Sharp Fwy Lubbock TX 79407-3524 |
| Practice Telephone | 8067979859 |
| Practice Fax Number | 8067853289 |
| Mailing Telephone | 8067979859 |
| Mailing Fax Number | 8067853289 |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2012-08-16 |
| Authorized Official Name | MR. JAMES ERICH RYAN (ADMINISTRATOR/SOLE PROPRIETOR) |
| Authorized Official Telephone | 8067979859 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310500000X | Intermediate Care Facility, Mental Illness | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Agnes Dent Homes III | Doing Business As Name - Organization |
| Street Address |
5322 22ND ST |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79407-2117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811443179 | Brandie Fulbright | Intermediate Care Facility, Mentally Retarded | 5322 22nd St, Lubbock, TX 79407-2117 | 2016-08-28 |
| 1932512043 | Eugene S Bonds Jr. | Intermediate Care Facility, Mentally Retarded | 5322 22nd St, Lubbock, TX 79407-2117 | 2014-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275155731 | Bryce Olson Pt, LLC | Physical Therapist | 6014 45th St Ste C Lubbock, Tx 79407, 6014 45th St Ste C Lubbock, Tx 79407, Lubbock, TX 79407 | 2020-05-07 |
| 1235762923 | Fnu Sindhuja Gunasekaran | Physical Therapist | 6014 45th Street, Lubbock, TX 79407 | 2020-02-20 |
| 1770987554 | Amanda Moore | Occupational Therapist | 6548 43rd St, Lubbock, TX 79407 | 2014-10-22 |
| 1336565639 | Best Eye Visioncare, Pllc | Optometrist | 6020 34th Street, Lubbock, TX 79407 | 2014-03-11 |
| 1003249210 | Costco Wholesale Corporation | Pharmacy | 6020 34th St, Lubbock, TX 79407 | 2013-08-12 |
| 1225304686 | Community Health Center of Lubbock, Inc. | Clinic/Center | 5424 19th St Ste 200, Lubbock, TX 79407 | 2012-03-29 |
| 1023385879 | Medway Medical Equipment IIi LLC | Durable Medical Equipment & Medical Supplies | 3448 W Loop 289, Lubbock, TX 79407 | 2011-11-22 |
| 1801102553 | Jennifer Hobbs Williams | Nurse Practitioner | 1910 Quaker Ave Ste 101, Lubbock, TX 79407 | 2010-08-19 |
| 1780901496 | Joni Rodriguez | Counselor | 1611 Ave K, Lubbock, TX 79407 | 2010-04-21 |
| 1073776860 | Southwest Regional PCr, LLC | Clinical Medical Laboratory | 2002 W Loop 289 Ste 116, Lubbock, TX 79407 | 2008-07-02 |
| Find all providers in zip 79407 | ||||
| Taxonomy Code | 310500000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mental Illness |
| A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831741602 | Yvette S Amador | Intermediate Care Facility, Mental Illness | 9300 Aubrey Ct, Fort Worth, TX 76140-5169 | 2019-07-11 |
| 1598213878 | Harmony Living Centers Inc | Intermediate Care Facility, Mental Illness | 101 Rosebud Dr, Marshall, TX 75672-3371 | 2016-09-15 |
| 1689962508 | City Crown Php Inc | Intermediate Care Facility, Mental Illness | 2626 Raven Falls Ln, Friendswood, TX 77546-6072 | 2011-07-12 |
| 1548586720 | Mental Health Facility | Intermediate Care Facility, Mental Illness | 556 Buffalo Creek Dr, Desoto, TX 75115-5328 | 2010-04-13 |
| 1518296698 | Hannah's Place A Home With Love | Intermediate Care Facility, Mental Illness | 12251 Running Bird Ln, Austin, TX 78758-2633 | 2009-12-18 |
| 1609077205 | Newstart Inc. | Intermediate Care Facility, Mental Illness | 4503 Palomino Ct, Arlington, TX 76017-1592 | 2007-05-30 |
| 1508072000 | Fe Care Inc | Intermediate Care Facility, Mental Illness | 19365 Fm 2252, Suite 9, Garden Ridge, TX 78266-2566 | 2007-05-14 |
| 1326252750 | Specialized Home Life | Intermediate Care Facility, Mental Illness | 12302 Gran Vista St, San Antonio, TX 78233-5927 | 2007-05-08 |
| 1285757385 | Special Texas Homes, Inc. | Intermediate Care Facility, Mental Illness | 2301 Olive Cir, Baytown, TX 77520-5775 | 2007-04-06 |
| 1558484659 | Special Texas Homes, Inc. | Intermediate Care Facility, Mental Illness | 706 Maplewood St, Baytown, TX 77520-2545 | 2007-04-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.