NPIMap

Organization Active NPI

Lion Star Nacogdoches Hospital, LLC

Doing business as Cecil B. Bomar Rehabilitation Center

  • Rehabilitation Hospital Unit
  • Nacogdoches, TX
National Provider Identifier
1043880123
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
Legal business name
LION STAR NACOGDOCHES HOSPITAL, LLC
Doing business as
Cecil B. Bomar Rehabilitation Center
Practice address
707 Woods St
Nacogdoches, TX 75961-4411
Phone
(936) 568-8488
NPI assigned
Jun 30, 2021
Last updated
Oct 26, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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

Authorized official

Name
Brandy Boyd, CPA
Title
Cfo
Phone
(936) 568-8523

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X Primary

Addresses

Primary practice location

707 Woods St
Nacogdoches, TX 75961-4411

Mailing address

707 Woods St
Nacogdoches, TX 75961-4411
Phone (936) 568-8488

Other names 1

  • Cecil B. Bomar Rehabilitation Center Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address NMDM@scs.nacowl.net
Direct Messaging Address NMDM@scs.nacowl.net

National Provider Directory

National Provider Directory

Locations

1018 N Mound St
Ste 206
Nacogdoches, TX 75961
Phone (936) 560-0707

1601 W Austin St
Nacogdoches, TX 75964
Phone (936) 564-8611

Interoperability endpoints

  • Direct secure messaging: nmdm@scs.nacowl.net

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666742400000",
    "number": "1043880123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 WOODS ST",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759614411",
            "telephone_number": "936-568-8488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 WOODS ST",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759614411",
            "telephone_number": "936-568-8488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LION STAR NACOGDOCHES HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-30",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "BRANDY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "936-568-8523",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "NMDM@scs.nacowl.net",
            "affiliation": "N",
            "address_1": "707 Woods St",
            "city": "Nacogdoches",
            "state": "TX",
            "country_code": "US",
            "postal_code": "759614411",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "NMDM@scs.nacowl.net",
            "affiliation": "N",
            "address_1": "707 Woods St",
            "city": "Nacogdoches",
            "state": "TX",
            "country_code": "US",
            "postal_code": "759614411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Cecil B. Bomar Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cecil B. Bomar Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nacogdoches, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; 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.