Falcon Lake Nursing Home, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

FALCON LAKE NURSING HOME, LLC

Practice address

200 Carla St
Zapata, TX 78076-3114

Phone

(956) 765-3040

Fax

(956) 765-1720

NPI assigned

Nov 22, 2021

Organization subpart

No

Name

Carlos Garza

Title

Owner

Phone

(956) 765-3040

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 23, 2021.

{
    "created_epoch": "1637539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640217600000",
    "number": "1154088474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 266",
            "city": "ZAPATA",
            "state": "TX",
            "postal_code": "780760266",
            "telephone_number": "956-765-3040",
            "fax_number": "956-765-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CARLA ST",
            "city": "ZAPATA",
            "state": "TX",
            "postal_code": "780763114",
            "telephone_number": "956-765-3040",
            "fax_number": "956-765-1720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALCON LAKE NURSING HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-22",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A",
        "authorized_official_last_name": "GARZA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-765-3040"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HHSC - FACILITY ID",
            "identifier": "005353",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Zapata, TX
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.