Pyramid Healthcare Corp

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

119012 Issued in TX

Legal business name

PYRAMID HEALTHCARE CORP

Doing business as

Heritage Manor of Gorman

Practice address

600 W. Roosevelt
Gorman, TX 76454

Phone

(254) 734-2202

Fax

(254) 734-2220

NPI assigned

Dec 28, 2006

Last updated

Aug 22, 2020By 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

Mrs. Patricia Diane Ward, RN

Title

Ceo President

Phone

(254) 580-9424

Specialties & licenses 1

Addresses

Other names 1

• Heritage Manor of Gorman Doing business as

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245396258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2105",
            "city": "WHITNEY",
            "state": "TX",
            "postal_code": "766925105",
            "telephone_number": "254-580-9424",
            "fax_number": "254-580-9892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W. ROOSEVELT",
            "city": "GORMAN",
            "state": "TX",
            "postal_code": "76454",
            "telephone_number": "254-734-2202",
            "fax_number": "254-734-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PYRAMID HEALTHCARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "CEO PRESIDENT",
        "authorized_official_telephone_number": "254-580-9424",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "119012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Manor of Gorman",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gorman Independent School District
• Gorman Long Term Care, LLC (Homestead Nursing and Rehabilitation of Gorman)
• Gorman Pharmacy
• Danette Lara
• Natasha Brook Madera
• Richard Watson (Ricon Pharmacy)
• Mandi Rae Senterfitt-Lowe, MS, CCC/SLP
• Joni West, SLP

• Skilled Nursing Facility in Gorman, TX
• Providers in Gorman, 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 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.