Organization Active NPI

Cartwheel Gonzales Real Estate Partnership LTD

Doing business as Cartwheel Lodge of Gonzales

  • Skilled Nursing Facility
  • Gonzales, TX
National Provider Identifier
1093723967
Registry record updated Nov 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CARTWHEEL GONZALES REAL ESTATE PARTNERSHIP LTD
Doing business as
Cartwheel Lodge of Gonzales
Practice address
1800 Cartwheel Dr
Gonzales, TX 78629
Phone
(830) 672-2887
Fax
(830) 672-8039
NPI assigned
Aug 4, 2006
Last updated
Nov 1, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2007

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

Authorized official

Name
Mr. Fred L Smith, NFA
Title
Administrator
Phone
(830) 672-2887

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1800 Cartwheel Dr
Gonzales, TX 78629

Mailing address

PO Box 659
1800 Cartwheel Dr
Gonzales, TX 78629
Phone (830) 672-2887

Other identifiers 1

IdentifierTypeStateIssuer
4965MedicaidTX

Other names 1

  • Cartwheel Lodge of Gonzales Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1093723967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 659",
            "address_2": "1800 CARTWHEEL DR",
            "city": "GONZALES",
            "state": "TX",
            "postal_code": "78629",
            "telephone_number": "830-672-2887",
            "fax_number": "830-672-8039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 CARTWHEEL DR",
            "city": "GONZALES",
            "state": "TX",
            "postal_code": "78629",
            "telephone_number": "830-672-2887",
            "fax_number": "830-672-8039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARTWHEEL GONZALES REAL ESTATE PARTNERSHIP LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "830-672-2887",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NFA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4965",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cartwheel Lodge of Gonzales",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gonzales, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; 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.