Gazebo Terrace Skilled Care and Rehabilitation, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

GAZEBO TERRACE SKILLED CARE AND REHABILITATION, LLC

Doing business as

Gazebo Terrace Skilled Care & Rehabilitation

Practice address

1303 Highway 290 E
Brenham, TX 77833-5928

Phone

(979) 830-7100

Fax

(979) 830-0820

NPI assigned

Jun 13, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Nancy M Jarnagin

Title

Owner

Phone

(979) 830-7100

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Gazebo Terrace Skilled Care & Rehabilitation Doing business as

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

{
    "created_epoch": "1371081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490140800000",
    "number": "1194163030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 HWY 290 EAST",
            "city": "BRENHAM",
            "state": "TX",
            "postal_code": "77833",
            "telephone_number": "979-830-7100",
            "fax_number": "979-830-0820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 HIGHWAY 290 E",
            "city": "BRENHAM",
            "state": "TX",
            "postal_code": "778335928",
            "telephone_number": "979-830-7100",
            "fax_number": "979-830-0820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAZEBO TERRACE SKILLED CARE AND REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-13",
        "last_updated": "2017-03-22",
        "status": "A",
        "authorized_official_last_name": "JARNAGIN",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "979-830-7100",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001025532",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gazebo Terrace Skilled Care & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ryan William Frieben, M.D.
• Chad Michael Gandy
• Garral Tiaden, O.D.
• Gary L. Appelt, MD,PA
• Gazebo Terrace Convalescent Center
• Gentletouch Healthcare, Inc.
• Melissa L. Gerke, D.D.S.
• Tammy Goebel, PT
• Jennifer Goforth, COTA
• Leroy Gonzales, LPC

• Skilled Nursing Facility in Brenham, TX
• Providers in Brenham, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; 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.