Organization Active NPI

Premont Rehab and Nursing Center, Inc

  • Skilled Nursing Facility
  • Premont, TX
National Provider Identifier
1124290150
Registry record updated Oct 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
PREMONT REHAB AND NURSING CENTER, INC
Practice address
431 NW 3Rd Street
Premont, TX 78375-0260
Phone
(361) 348-3553
NPI assigned
Mar 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2008

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

Authorized official

Name
Jeffrey A Head
Title
President
Phone
(817) 992-2028

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

431 NW 3Rd Street
Premont, TX 78375-0260

Mailing address

401 N Carroll Ave # 157
Southlake, TX 76092-6407
Phone (817) 992-2028

Other names 1

  • Premont Rehab and Nursing Center 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": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225411200000",
    "number": "1124290150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N CARROLL AVE # 157",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926407",
            "telephone_number": "817-992-2028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 NW 3RD STREET",
            "city": "PREMONT",
            "state": "TX",
            "postal_code": "783750260",
            "telephone_number": "361-348-3553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMONT REHAB AND NURSING CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-31",
        "last_updated": "2008-10-31",
        "status": "A",
        "authorized_official_last_name": "HEAD",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-992-2028"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premont Rehab and Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Premont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2008; 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.