NPIMap

Organization Active NPI

Yoakum Healthcare Corporation

  • Skilled Nursing Facility
  • Yoakum, TX
National Provider Identifier
1295799658
Registry record updated Jul 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
675736 Issued in TX
Legal business name
YOAKUM HEALTHCARE CORPORATION
Practice address
1300 Carl Ramert Dr
Yoakum, TX 77995-4869
Phone
(361) 293-2801
Fax
(361) 293-7751
NPI assigned
Apr 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2009

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

Authorized official

Name
Mr. Heber S. Lacerda
Title
President Ceo
Phone
(361) 576-0694

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 115213 TX
Skilled Nursing Facility 314000000X 675736 TX Primary
Durable Medical Equipment & Medical Supplies 332B00000X 1225160001 TX

Addresses

Primary practice location

1300 Carl Ramert Dr
Yoakum, TX 77995-4869

Mailing address

1300 Carl Ramert Dr
Yoakum, TX 77995-4869
Phone (361) 293-2801

Other identifiers 4

IdentifierTypeStateIssuer
536501MedicaidTX
000536501MedicaidTX
198032801MedicaidTX
HH046SOtherTXBCBS BLUELINK

Other names 1

  • YOAKUM NURSING AND REHABILITATION CENTER Other name

National Provider Directory

National Provider Directory
Tax ID family
Citizens Medical Center Co12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246406400000",
    "number": "1295799658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 CARL RAMERT DR",
            "city": "YOAKUM",
            "state": "TX",
            "postal_code": "779954869",
            "telephone_number": "361-293-2801",
            "fax_number": "361-293-7751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 CARL RAMERT DR",
            "city": "YOAKUM",
            "state": "TX",
            "postal_code": "779954869",
            "telephone_number": "361-293-2801",
            "fax_number": "361-293-7751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOAKUM HEALTHCARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-13",
        "last_updated": "2009-07-01",
        "status": "A",
        "authorized_official_last_name": "LACERDA",
        "authorized_official_first_name": "HEBER",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "361-576-0694",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TX",
            "license": "115213",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "675736",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "1225160001",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "536501",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000536501",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "198032801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS BLUELINK",
            "identifier": "HH046S",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "YOAKUM NURSING AND REHABILITATION CENTER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Yoakum, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2009; 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.