Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Jamier M Tatum

Individual provider Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1033924089

Jamier M Tatum is registered under Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Longview, Texas. Licensed in Texas. Registered with an NPI since 2025.

Licensed in
TX
In the registry since
2025
Specialties on file
11

Practice location Address checks out

3549 Gilmer Rd Ste I
Longview, TX 75604-1216
Phone: (817) 240-3153
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) Taxonomy 320900000X (TX)
Home Health Agency Taxonomy 251E00000X (TX)
Child Intellectual and/or Developmental Disabilities Respite Care Taxonomy 385HR2060X (TX)
In Home Supportive Care Agency Taxonomy 253Z00000X (TX)
Local Education Agency (LEA) Taxonomy 251300000X (TX)
Child Physical Disabilities Respite Care Taxonomy 385HR2065X (TX)
Respite Care Taxonomy 385H00000X (TX)
Nursing Care Agency Taxonomy 251J00000X (TX)
Case Management Agency Taxonomy 251B00000X (TX)
Developmentally Disabled Services Day Training Agency Taxonomy 251C00000X (TX)
Foster Care Agency Taxonomy 253J00000X (TX)

Record details

NPI number1033924089
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 7, 2025
Last updated in NPPESSeptember 17, 2026
Certification dateSeptember 17, 2026

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