TX HHS Form 3227. Special Care Facility License Application

The TX HHS Form 3227, Special Care Facility License Application, is a crucial document for facilities providing specialized care to individuals. This form helps solve the problem of obtaining a license to operate such facilities in Texas, ensuring compliance with state regulations and standards. The application is typically used by facility owners or operators seeking to establish or relocate a special care facility, such as those providing assisted living services, adult day care, or respite care.

The form requires essential information about the facility, including its doing business as (DBA) name, street address, mailing address, and contact details. It also collects ownership information, including the legal name of the direct owner, mailing address, and employer identification number (EIN). Additionally, the application asks for proof of IRS-issued EIN and organizational chart showing ownership structure. Failure to provide this required information may result in delays or denial of the license application.

Key features of the form include the need to provide a projected date for facility opening, current license number (if applicable), and architectural project number (if applicable). The form also highlights the importance of matching the DBA name with advertisements and facility signage. By completing this application, special care facilities can demonstrate their commitment to providing high-quality services while ensuring compliance with Texas Health and Human Services regulations.

• The TX HHS Form 3227 is used by facility owners or operators seeking to establish or relocate a special care facility in Texas.
• The form requires essential information about the facility, including its DBA name, street address, mailing address, and contact details.
• The application asks for proof of IRS-issued EIN and organizational chart showing ownership structure.