Enchanted Hearts Adult Daycare

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

02182933 Issued in TX

Legal business name

ENCHANTED HEARTS ADULT DAYCARE

Practice address

2501 W Oak St
Palestine, TX 75801-4069

Phone

(903) 394-0071

NPI assigned

Aug 25, 2011

Last updated

Aug 25, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jacqueline Lynette Watkins

Title

Administrator

Phone

(903) 394-0071

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1314230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314230400000",
    "number": "1144500984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 W OAK ST",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758014069",
            "telephone_number": "903-394-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 W OAK ST",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758014069",
            "telephone_number": "903-394-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCHANTED HEARTS ADULT DAYCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-25",
        "last_updated": "2011-08-25",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "LYNETTE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "903-394-0071"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TX",
            "license": "02182933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Educare Community Living Limited Partnership
• Educare Community Living Limited Partnership
• Educare Community Living Limited Partnership
• Tiffany Elliott, MSN, APRN, PMHNP-BC
• Cheryl Lynn Ellisor, PT, DPT
• Eric L. Hensen, DO PA
• Eye Group of Palestine, PA
• Robert J Falconer, M.D.
• Family Outreach & Resource, Inc.
• Fannin County Hospital Authority (Trucare Living Centers)

• Nursing Facility/Intermediate Care Facility in Palestine, TX
• Providers in Palestine, 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 25, 2011; 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.