Kilgore Healthcare LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

KILGORE HEALTHCARE LLC

Practice address

2700 S Henderson Blvd
Kilgore, TX 75662-4033

Phone

(903) 984-3511

NPI assigned

Nov 24, 2014

Last updated

Sep 15, 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

Sol Gurwitz

Title

Manager

Phone

(903) 984-3511

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1416787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600128000000",
    "number": "1083011787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8383 WILSHIRE BLVD",
            "address_2": "STE 830",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 S HENDERSON BLVD",
            "city": "KILGORE",
            "state": "TX",
            "postal_code": "756624033",
            "telephone_number": "903-984-3511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KILGORE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-24",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A",
        "authorized_official_last_name": "GURWITZ",
        "authorized_official_first_name": "SOL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "903-984-3511"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001026513",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marithy Jones
• Alaina Jordan, LCDC
• Kal 2016, LLC (Arabella of Kilgore)
• Kilgore Al Management LLC (Arabella of Kilgore)
• Kilgore Chiropractic Clinic Inc
• Kilgore I Enterprises, LLC (Kilgore Health & Rehabilitation)
• Kilgore Independent School District
• Kilgore Integrated Health PLLC
• Kilgore Life Center
• Kilgore Manor Inc (Legacy Living Centers)

• Skilled Nursing Facility in Kilgore, TX
• Providers in Kilgore, 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 15, 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.