Organization Active NPI

Hidalgo Nursing Home Limited Partnership

  • Nursing Facility/Intermediate Care Facility
  • Mission, TX
National Provider Identifier
1164419958
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
112821 Issued in TX
Legal business name
HIDALGO NURSING HOME LIMITED PARTNERSHIP
Practice address
1013 S Bryan Rd
Mission, TX 78572-6608
Phone
(512) 458-5707
Fax
(512) 458-5751
NPI assigned
Oct 5, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Mark Himmel
Title
Ceo
Phone
(512) 458-5707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 112821 TX Primary

Addresses

Primary practice location

1013 S Bryan Rd
Mission, TX 78572-6608

Mailing address

6633 E Highway 290 Ste 202
Austin, TX 78723-1157
Phone (512) 458-5707

Other names 1

  • Mission Nursing and Rehabilitation Center Doing business as

National Provider Directory

National Provider Directory

Locations

1013 S Bryan Rd
Mission, TX 78572
Phone (856) 580-2100

NPI Registry JSON

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164419958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6633 E HIGHWAY 290 STE 202",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787231157",
            "telephone_number": "512-458-5707",
            "fax_number": "512-458-5751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 S BRYAN RD",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785726608",
            "telephone_number": "512-458-5707",
            "fax_number": "512-458-5751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIDALGO NURSING HOME LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HIMMEL",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "512-458-5707",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TX",
            "license": "112821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mission Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mission, TX

Sources for this page

  • 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.