Whitesboro SCC LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

WHITESBORO SCC LLC

Doing business as

Whitesboro Health and Rehabilitation Center

Practice address

1204 Sherman Dr
Whitesboro, TX 76273-9564

Phone

(903) 564-7900

Fax

(903) 564-7028

NPI assigned

Dec 10, 2008

Last updated

Sep 4, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jason Price

Title

Senior Vice President

Phone

(949) 436-4343

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Whitesboro Health and Rehabilitation Center Doing business as

Locations

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

{
    "created_epoch": "1228867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599177600000",
    "number": "1053556712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 SHERMAN DR",
            "city": "WHITESBORO",
            "state": "TX",
            "postal_code": "762739564",
            "telephone_number": "903-564-7900",
            "fax_number": "903-564-7028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 SHERMAN DR",
            "city": "WHITESBORO",
            "state": "TX",
            "postal_code": "762739564",
            "telephone_number": "903-564-7900",
            "fax_number": "903-564-7028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITESBORO SCC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-10",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "949-436-4343"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "127049",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001016938",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Whitesboro Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Whitesboro Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• West Wharton County Hospital District (Whitesboro Health & Rehabilitation Center)
• Joni Rene White, PT
• Whitesboro Dental
• Whitesboro Family Medical Clinic LLC
• Whitesboro Health Care Center LLC (Whitesboro Health and Rehabilitation Center)
• Llogan R. Yosten
• Your Specialized Dietitian
• Stephanie Zackery

• Skilled Nursing Facility in Whitesboro, TX
• Providers in Whitesboro, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.