West 380 Nursing Center

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

WEST 380 NURSING CENTER

Practice address

2108 15TH St
Bridgeport, TX 76426

Phone

(940) 683-5023

Fax

(940) 683-3184

NPI assigned

Jun 10, 2006

Organization subpart

No

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

Authorized official

Name

Paul Owens

Title

Chairman of Board

Phone

(940) 683-5283

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Trinty Care Center Doing business as

Tax ID family

Trinity Care Center Hospice2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• West 380 Nursing Home Facility

  • Community Based Hospice Care Agency
  • Bridgeport, TX
  • NPI 1407092695
  NPD tax ID

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1295777902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 15TH STREET",
            "city": "BRIDGEPORT",
            "state": "TX",
            "postal_code": "76426",
            "telephone_number": "940-683-5023",
            "fax_number": "940-683-3184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 15TH ST",
            "city": "BRIDGEPORT",
            "state": "TX",
            "postal_code": "76426",
            "telephone_number": "940-683-5023",
            "fax_number": "940-683-3184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST 380 NURSING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CHAIRMAN OF BOARD",
        "authorized_official_telephone_number": "940-683-5283"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001014008",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinty Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Morgan Paige Walker, PHARM.D.
• Robert Lee Ware III, LMT
• Webb Chiropractic PLLC
• James Jarrett Webb, D.C.
• West 380 Family Care Facility
• West 380 Nursing Home Facility
• Angela S Whatley, CPHT
• Wise Clinical Care Associates
• Wise County Medical & Surgical Association
• Wise County Special Education Cooperative

• All providers in Bridgeport, TX
• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; 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.