Century Fort Stockton Geac LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

112531 Issued in TX

Legal business name

CENTURY FORT STOCKTON GEAC LLC

Practice address

501 N Sycamore St
Fort Stockton, TX 79735-4602

Phone

(432) 336-7631

Fax

(432) 336-8870

NPI assigned

Mar 26, 2007

Organization subpart

No

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

Authorized official

Name

Chana Shelton

Title

Cfo

Phone

(940) 464-7018

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Fort Stockton Nursing Center Doing business as

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371600000000",
    "number": "1295853844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N SYCAMORE ST",
            "city": "FORT STOCKTON",
            "state": "TX",
            "postal_code": "797354602",
            "telephone_number": "432-336-7631",
            "fax_number": "432-336-8870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N SYCAMORE ST",
            "city": "FORT STOCKTON",
            "state": "TX",
            "postal_code": "797354602",
            "telephone_number": "432-336-7631",
            "fax_number": "432-336-8870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTURY FORT STOCKTON GEAC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2013-06-19",
        "status": "A",
        "authorized_official_last_name": "SHELTON",
        "authorized_official_first_name": "CHANA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "940-464-7018"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "112531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005310",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fort Stockton Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cactus Health Services, Inc
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• Jeremy Calzada, PT
• Monika Urias Castellano
• Amanda Sosa Celaya, LVN
• Brian Edward Cherry, O.D.
• City of Fort Stockton
• Jessica Colunga, FNP-BC
• Community Dental for Kids
• Patrice Michelle Cordero, D.C.

• Skilled Nursing Facility in Fort Stockton, TX
• Providers in Fort Stockton, 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 Jun 19, 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.