Active NPI
Legend Healthcare Heritage Paris, LP
- Skilled Nursing Facility
- Paris, TX
National Provider Identifier
1073614020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 5386
- Legal business name
- LEGEND HEALTHCARE HERITAGE PARIS, LP
- Doing business as
- Legend Healthcare and Rehab - Paris
- Practice address
- 520 8TH St SE
Paris, TX 75460-7330 - Phone
- (903) 737-9820
- Fax
- (903) 785-3911
- NPI assigned
- Sep 25, 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
- Martin Tomerlin
- Title
- President
- Phone
- (210) 564-0100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 5386 | TX | Primary |
Addresses
Primary practice location
520 8TH St SE
Paris, TX 75460-7330
Mailing address
1390 E Bitters Rd
San Antonio, TX 78216-2914
Phone (210) 564-0100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001012896 | Medicaid | TX |
Other names 1
- Legend Healthcare and Rehab - Paris
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1427241600000",
"number": "1073614020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1390 E BITTERS RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782162914",
"telephone_number": "210-564-0100",
"fax_number": "210-564-0157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 8TH ST SE",
"city": "PARIS",
"state": "TX",
"postal_code": "754607330",
"telephone_number": "903-737-9820",
"fax_number": "903-785-3911"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEGEND HEALTHCARE HERITAGE PARIS, LP",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-25",
"last_updated": "2015-03-25",
"status": "A",
"authorized_official_last_name": "TOMERLIN",
"authorized_official_first_name": "MARTIN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "210-564-0100"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "TX",
"license": "5386",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001012896",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Legend Healthcare and Rehab - Paris",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Paris, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.