NPI age
18 years
Enumerated 2007-09-06
● Active Type 2 · Organization
Breckenridge Village
Breckenridge Village is 1 of 737 intermediate care facility, intellectual disabilities organizations in Texas.
Primary specialty
Intermediate Care Facility, Intellectual Disabilities
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Perkins
President
Last NPPES update
2025-04-28
Source: monthly bulk 2026-05
How this organization compares
Across 737 active intermediate care facility, intellectual disabilities providers in Texas.
NPI age
18 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-09Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
15062 County Road 1145
Tyler, TX 757047516
Mailing address
15062 County Road 1145
Tyler, TX 757047516
Authorized official
Melissa Perkins
President
📞 9035968100
Specialties
-
Intermediate Care Facility, Intellectual Disabilities PrimaryAn intermediate care facility providing services for individuals with intellectual disabilities.
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Breckenridge Village of Tyler
-
Breckenridge Village of Tyler
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.