NPI Code Details Logo

NPI 1144198052

NPI 1144198052 : HALLMARK HCS, LLC : BEDFORD, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1144198052
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    HALLMARK HCS, LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/23/2025
-----------------------------------------------------
    Last Update Date     |    10/24/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    2307 CENTRAL DR STE B2 
-----------------------------------------------------
    City                 |    BEDFORD
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    76021-7747
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    817-553-1900
-----------------------------------------------------
    Fax                  |    817-553-1902
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    2307 CENTRAL DR STE B2 
-----------------------------------------------------
    City                 |    BEDFORD
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    76021-7747
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    817-553-1900
-----------------------------------------------------
    Fax                  |    817-553-1902
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    MANAGER
-----------------------------------------------------
    Name                 |     EMMANUEL  ETUOKWU 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    817-553-1900
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    320900000X
-----------------------------------------------------
    Taxonomy Name        |    Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    253Z00000X
-----------------------------------------------------
    Taxonomy Name        |    In Home Supportive Care Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    320600000X
-----------------------------------------------------
    Taxonomy Name        |    Intellectual and/or Developmental Disabilities Residential Treatment Facility
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    251S00000X
-----------------------------------------------------
    Taxonomy Name        |    Community/Behavioral Health Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.