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Breckenridge Village

Intellectual Disabilities Intermediate Care Facility in Tyler, TX · enumerated 2007 · authorized official Kevin King, Executive Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1245427947

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Registry record

Entity type Organization (Type 2)
Legal business name Breckenridge Village
Other name <Unavail>
Parent organization Baptist Child & Family Services Inc.
Practice address 15062 County Road 1145, Tyler, TX, 75704
Phone (903) 956-8100
Fax (903) 596-8104
Enumeration date Sep 27, 2007
Last updated in NPPES Aug 26, 2019

Taxonomy & classification

315P00000X Intellectual Disabilities Intermediate Care Facility Nursing & Custodial Care Facilities Primary

Authorized official

Name Kevin King
Title Executive Director
Phone (903) 896-8100

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2019-08-26. Verify at npiregistry.cms.hhs.gov.
Where is Breckenridge Village located?
The practice location on file with NPPES is in Tyler, TX.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-08-26.