Groesbeck Healthcare Residence LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

GROESBECK HEALTHCARE RESIDENCE LLC

Practice address

1025 W Yeagua St
Groesbeck, TX 76642-3529

Phone

(254) 729-3366

Fax

(254) 729-3475

NPI assigned

Jun 11, 2019

Organization subpart

No

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

Authorized official

Name

Joe Neuman

Title

Manager

Phone

(888) 396-3462

Specialties & licenses 1

Addresses

Other names 1

• Windsor Nursing and Rehab Center Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1033778261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 CLIFTON AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087013342",
            "telephone_number": "888-396-3462",
            "fax_number": "214-396-3462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 W YEAGUA ST",
            "city": "GROESBECK",
            "state": "TX",
            "postal_code": "766423529",
            "telephone_number": "254-729-3366",
            "fax_number": "254-729-3475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROESBECK HEALTHCARE RESIDENCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-11",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "NEUMAN",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "888-396-3462"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.windsorresidence.com",
            "affiliation": "N",
            "address_1": "1025 W Yeagua St",
            "city": "Groesbeck",
            "state": "TX",
            "country_code": "US",
            "postal_code": "766423529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Windsor Nursing and Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Donald Lynn Glass, ATC, LAT
• Eduardo Abraham Gonzalez Fernandez, MD
• Groesbeck City Drug
• Groesbeck Dentist PLLC
• Groesbeck Family Dental
• Groesbeck Isd
• Groesbeck LTC Partners, Inc.
• Groesbeck Therapy Services
• Misty Groschke, SLP
• Gayle Ann Hackbarth, FNP

• All providers in Groesbeck, TX
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.