Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Breckenridge Village

Organization Intellectual Disabilities Intermediate Care Facility · NPI 1477748010

Breckenridge Village is an Intellectual Disabilities Intermediate Care Facility in Tyler, Texas. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

15062 County Road 1145
Tyler, TX 75704-7516
Phone: (903) 956-8100
Fax: (903) 956-8104
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual Disabilities Intermediate Care Facility (primary) Taxonomy 315P00000X

Record details

NPI number1477748010
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Melissa Perkins — President · (903) 596-8100
Other names Breckenridge Village Of Tyler; Breckenridge Village Of Tyler
NPI enumeratedSeptember 6, 2007
Last updated in NPPESApril 28, 2025
Certification dateApril 28, 2025
Mailing address15062 County Road 1145, Tyler, TX 75704-7516

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