Active NPI
New Graham Oaks Care Center Inc.
- Skilled Nursing Facility
- Graham, TX
National Provider Identifier
1013981794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 114203
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5241 | Other | TX | VENDER NUMBER |
National Provider Directory
National Provider DirectoryNPI 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.