Dignity Healthcare II LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

DIGNITY HEALTHCARE II LLC

Doing business as

Llano Nursing & Rehabilitation Center

Practice address

800 W Haynie St
Llano, TX 78643-1905

Phone

(817) 723-2095

NPI assigned

Apr 27, 2013

Last updated

Jul 31, 2013By 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

Mr. Clayton Eric Brummett

Title

Sole Owner

Phone

(817) 723-2095

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Llano Nursing & Rehabilitation Center Doing business as

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

{
    "created_epoch": "1367020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375228800000",
    "number": "1265876700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W HAYNIE ST",
            "city": "LLANO",
            "state": "TX",
            "postal_code": "786431905",
            "telephone_number": "325-247-4194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W HAYNIE ST",
            "city": "LLANO",
            "state": "TX",
            "postal_code": "786431905",
            "telephone_number": "817-723-2095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGNITY HEALTHCARE II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-27",
        "last_updated": "2013-07-31",
        "status": "A",
        "authorized_official_last_name": "BRUMMETT",
        "authorized_official_first_name": "CLAYTON",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "817-723-2095",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001021216",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Llano Nursing & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Llano, TX
• Providers in Llano, 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 Jul 31, 2013; 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.