Decatur Nursing and Rehabilitation LP

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

DECATUR NURSING AND REHABILITATION LP

Practice address

605 W Mulberry St
Decatur, TX 76234-1263

Phone

(940) 627-5444

Fax

(940) 627-2912

NPI assigned

Sep 30, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Dan D. Flagg

Title

Ceo

Phone

(940) 387-4388

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Heritage Place of Decatur Doing business as

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548806400000",
    "number": "1285621789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 S ELM ST",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762016085",
            "telephone_number": "940-387-4388",
            "fax_number": "940-380-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 W MULBERRY ST",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762341263",
            "telephone_number": "940-627-5444",
            "fax_number": "940-627-2912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECATUR NURSING AND REHABILITATION LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-30",
        "last_updated": "2019-01-30",
        "status": "A",
        "authorized_official_last_name": "FLAGG",
        "authorized_official_first_name": "DAN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "940-387-4388",
        "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": "001001123",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TMHP(CROSS OVER)",
            "identifier": "156477502",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Place of Decatur",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Heritage Place of Decatur",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Decatur Hospital Authority
• Decatur Hospital Authority
• Decatur II Enterprises, L.L.C.
• Decatur Isd
• Decatur Little Eagle Pediatrics, P.a.
• Decatur Physician Services PLLC
• Decatur Smiles
• Decatur Womens Health Center PA
• Andrea Megan Deloera, PA-C
• Tielle Nicole Dicaprio, AGACNP

• Skilled Nursing Facility in Decatur, TX
• Providers in Decatur, 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 Jan 30, 2019; 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.