Nacogdoches Health Care Center LTD. Co

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

108619 Issued in TX

Legal business name

NACOGDOCHES HEALTH CARE CENTER LTD. CO

Practice address

3305 North St
Nacogdoches, TX 75965-2690

Phone

(936) 564-0256

Fax

(936) 564-5298

NPI assigned

Sep 22, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Robin Underhill

Title

Chief Executive

Phone

(214) 954-4114

Specialties & licenses 1

Addresses

Other names 1

• Deer Creek Nursing Center Doing business as

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104812411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2537 GOLDEN BEAR DR",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750062377",
            "telephone_number": "214-954-4114",
            "fax_number": "214-871-3057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 NORTH ST",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759652690",
            "telephone_number": "936-564-0256",
            "fax_number": "936-564-5298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NACOGDOCHES HEALTH CARE CENTER LTD. CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "UNDERHILL",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE",
        "authorized_official_telephone_number": "214-954-4114",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "108619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Deer Creek Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Nacogdoches Independent School District

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