Texas HHSC regulated location/provider

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ICF/IID regulated location. This record identifies a regulated provider/location at the source grain.

Regulator: Texas Health and Human Services Commission (HHSC)
Provider class: ICF/IID regulated location
Texas HHSC Facility ID: 003931
TrustHub location identity: TX|HHSC|TX_ICF_IID|003931
Recorded location: 5124 QUEEN ANNE DR, FOREST HILL, TX, 76119 · TARRANT County
Facility Licensed, as reported: YES
Facility Certified, as reported: YES
License number: 147151
License effective date: 2024-05-01
License expiration date: 2027-05-01
Organization linkage: Not established
Source update date: 2026-09-29
Official source: Texas HHSC provider directory

Source status and license facts are reported separately. A license number is not a corporate identity or a CMS CCN.