Legend Greenville Healthcare, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

4887 Issued in TX

Legal business name

LEGEND GREENVILLE HEALTHCARE, LLC

Doing business as

Legend Healthcare and Rehabilitation - Greenville

Practice address

2300 Jack Finney Blvd
Greenville, TX 75402-3763

Phone

(903) 455-7942

Fax

(903) 455-0472

NPI assigned

Sep 25, 2006

Last updated

Mar 25, 2015By 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

Martin Tomerlin

Title

President

Phone

(210) 564-0100

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Legend Healthcare and Rehabilitation - Greenville Doing business as

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427241600000",
    "number": "1215038278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1390 E BITTERS RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782162914",
            "telephone_number": "210-564-0100",
            "fax_number": "210-564-0157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 JACK FINNEY BLVD",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754023763",
            "telephone_number": "903-455-7942",
            "fax_number": "903-455-0472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGEND GREENVILLE HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2015-03-25",
        "status": "A",
        "authorized_official_last_name": "TOMERLIN",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-564-0100"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "4887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001004084",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legend Healthcare and Rehabilitation - Greenville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melinda Faye Lawhorn, APRN
• Brandi Nicole Leber, BS, QMHP
• Annmarie McRena Ledley, D.O.
• Barbara V Lee, DMD
• Wha Joon Lee, MD
• Pretei E Lemo, MBBS
• Erika Selene Lerma, NNP-BC
• Lifeline Dialysis LLC
• Lifeline Renal Care LLC
• Norma Jean Linden, PH.D.

• Skilled Nursing Facility in Greenville, TX
• Providers in Greenville, 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 25, 2015; 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.