Organization Active NPI

New Graham Oaks Care Center Inc.

  • Skilled Nursing Facility
  • Graham, TX
National Provider Identifier
1013981794
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
114203 Issued in TX
Legal business name
NEW GRAHAM OAKS CARE CENTER INC.
Practice address
1325 1St St
Graham, TX 76450-3603
Phone
(940) 549-8787
Fax
(994) 054-9557
NPI assigned
Feb 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Kevin Michael Willmeth, L.N.F.A
Title
Administrator
Phone
(940) 549-8787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 114203 TX Primary

Addresses

Primary practice location

1325 1St St
Graham, TX 76450-3603

Mailing address

1325 1St St
Graham, TX 76450-3603
Phone (940) 549-8787

Other identifiers 1

IdentifierTypeStateIssuer
5241OtherTXVENDER NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013981794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 1ST ST",
            "city": "GRAHAM",
            "state": "TX",
            "postal_code": "764503603",
            "telephone_number": "940-549-8787",
            "fax_number": "994-054-9557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 1ST ST",
            "city": "GRAHAM",
            "state": "TX",
            "postal_code": "764503603",
            "telephone_number": "940-549-8787",
            "fax_number": "994-054-9557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW GRAHAM OAKS CARE CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLMETH",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "940-549-8787",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.N.F.A"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "114203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VENDER NUMBER",
            "identifier": "5241",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Graham, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.