Provider Demographics
NPI:1881556025
Name:CARRUS BEHAVIORAL HOSPITAL LLC
Entity type:Organization
Organization Name:CARRUS BEHAVIORAL HOSPITAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIRMAN & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ANBARASU
Authorized Official - Middle Name:
Authorized Official - Last Name:NACHIMUTHU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-870-2745
Mailing Address - Street 1:1810 W US HIGHWAY 82
Mailing Address - Street 2:
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75092-7069
Mailing Address - Country:US
Mailing Address - Phone:903-870-2745
Mailing Address - Fax:903-870-2795
Practice Address - Street 1:1015 PRUITT PL STE 104
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75703-1152
Practice Address - Country:US
Practice Address - Phone:903-462-6234
Practice Address - Fax:903-462-6235
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARRUS BEHAVIORAL HOSPITAL LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-11-25
Last Update Date:2025-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health