HCC-Healthcare Properties, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

HCC-HEALTHCARE PROPERTIES, LLC

Practice address

600 Bacon St
Madisonville, TX 77864-2575

Phone

(936) 348-9097

NPI assigned

Apr 27, 2018

Organization subpart

No

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

Authorized official

Name

Doug Mittleider

Title

President of Managing Member

Phone

(470) 282-3268

Specialties & licenses 1

Addresses

Other names 1

• Riverwood Healthcare & Rehabilitation Doing business as

Tax ID family

Fireside House of Centralia2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• HCC-Healthcare Properties, LLC

  • Skilled Nursing Facility
  • Centralia, IL
  • NPI 1861977019
  NPD tax ID

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

{
    "created_epoch": "1524787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524787200000",
    "number": "1063900751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5174 MCGINNIS FERRY RD STE 126",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300051792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 BACON ST",
            "city": "MADISONVILLE",
            "state": "TX",
            "postal_code": "778642575",
            "telephone_number": "936-348-9097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HCC-HEALTHCARE PROPERTIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-27",
        "last_updated": "2018-04-27",
        "status": "A",
        "authorized_official_last_name": "MITTLEIDER",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "PRESIDENT OF MANAGING MEMBER",
        "authorized_official_telephone_number": "470-282-3268"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverwood Healthcare & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mallison Fisher, MS,CCC-SLP
• Franklin Healthcare of Madisonville, LLC
• Joe W Franklin, M.D.
• Theresa Fusaro, LPC
• Kelle Dawn Harper, NP
• Cynthia Raye Horne, RN
• Jared Adam Hough, PA-C
• Grover Cleveland Hubley Jr., MD
• William Judson Humphries, MSN MBA APRN FNP-C
• Alexander Richard Hunt, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2018; 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.