Centers for Long Term Care of Texas, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CENTERS FOR LONG TERM CARE OF TEXAS, INC

Practice address

1900 Bagley Rd
Rusk, TX 75785-3808

Phone

(903) 683-5438

Fax

(903) 683-8418

NPI assigned

Feb 16, 2006

Organization subpart

No

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

Authorized official

Name

Gary Trebert

Title

Ceo

Phone

(817) 359-2000

Specialties & licenses 1

Addresses

Other names 1

• Oak Park Other name

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

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093789802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 155635",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761550635",
            "telephone_number": "817-359-2000",
            "fax_number": "817-359-2093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 BAGLEY RD",
            "city": "RUSK",
            "state": "TX",
            "postal_code": "757853808",
            "telephone_number": "903-683-5438",
            "fax_number": "903-683-8418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERS FOR LONG TERM CARE OF TEXAS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TREBERT",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "817-359-2000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oak Park",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Stacy Lee Black, DDS PA
• Bonner Emergency Medicine Associates PA
• Brookshire Brothers Inc
• Shana L Brown, CNP
• Troy Caldwell, MD
• Chapman Pharmacy Inc
• Chapman Pharmacy Inc
• Joe T Colkin Jr., L.P.C.
• Jacqueline Suzanne Cooper, MA, LPC
• Jeffrey Russell Copeland, PA

• Skilled Nursing Facility in Rusk, TX
• Providers in Rusk, 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 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.