Organization Active NPI

Cartmell Home for Aged, Inc.

  • Skilled Nursing Facility
  • Palestine, TX
National Provider Identifier
1174590020
Registry record updated Jan 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
110370 Issued in TX
Legal business name
CARTMELL HOME FOR AGED, INC.
Practice address
2212 W Reagan St
Palestine, TX 75801-2222
Phone
(903) 727-8500
Fax
(903) 727-0508
NPI assigned
Feb 28, 2006
Last updated
Jan 8, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2009

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

Authorized official

Name
Peggy Sue Witt
Title
Cfo
Phone
(903) 727-8500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 110370 TX Primary

Addresses

Primary practice location

2212 W Reagan St
Palestine, TX 75801-2222

Mailing address

2212 W Reagan St
Palestine, TX 75801-2222
Phone (903) 727-8500

Other identifiers 1

IdentifierTypeStateIssuer
000536001MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231372800000",
    "number": "1174590020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2212 W REAGAN ST",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758012222",
            "telephone_number": "903-727-8500",
            "fax_number": "903-727-0508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2212 W REAGAN ST",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758012222",
            "telephone_number": "903-727-8500",
            "fax_number": "903-727-0508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARTMELL HOME FOR AGED, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-28",
        "last_updated": "2009-01-08",
        "status": "A",
        "authorized_official_last_name": "WITT",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "903-727-8500"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "110370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000536001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palestine, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2009; 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.