Southland Villa Care Center

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

Legal business name

SOUTHLAND VILLA CARE CENTER

Practice address

2222 S 5TH St
Temple, TX 76504-7446

Phone

(254) 773-1641

Fax

(254) 773-3227

NPI assigned

Jun 30, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Dennis A Horsch

Title

Administrator

Phone

(254) 773-1641

Specialties & licenses 1

Addresses

Tax ID family

Go Go Inc2 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.

• Go Go Inc

  • Pediatric Skilled Nursing Facility
  • Gladewater, TX
  • NPI 1790772689
  NPD tax ID

Locations

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093712432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 S 5TH ST",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765047446",
            "telephone_number": "254-773-1641",
            "fax_number": "254-773-3227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 S 5TH ST",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765047446",
            "telephone_number": "254-773-1641",
            "fax_number": "254-773-3227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHLAND VILLA CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HORSCH",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "254-773-1641",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Angela Jill Southern, FNP-BC
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• Jimmy Lance Spakes II, FNP-BC
• Rebekah Hernandez Spalding Brannon, PT, DPT

• Nursing Facility/Intermediate Care Facility in Temple, TX
• Providers in Temple, TX by specialty
• Nursing Facility/Intermediate Care Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.