Home for Aged Masons Clinic Nursing Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0237 Issued in TX

Legal business name

HOME FOR AGED MASONS CLINIC NURSING CENTER

Practice address

1501 W Division St
Arlington, TX 76012-3818

Phone

(817) 275-2893

Fax

(817) 275-1065

NPI assigned

Feb 22, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Kirby Rudisill, ADMINISTRATOR

Title

Administrator

Phone

(817) 275-2893

Specialties & licenses 1

Addresses

Other names 1

• Texas Masonic Retirement Center Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316072192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 W DIVISION ST",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760123818",
            "telephone_number": "817-275-2893",
            "fax_number": "817-275-1065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 W DIVISION ST",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760123818",
            "telephone_number": "817-275-2893",
            "fax_number": "817-275-1065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME FOR AGED MASONS CLINIC NURSING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUDISILL",
        "authorized_official_first_name": "KIRBY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "817-275-2893",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "0237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas Masonic Retirement Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brett Holmes, DO
• Elida Victoria Holt, PA-C
• Julie Page Holt
• Jan Lee Holtberg, WHCNP
• Home Care Partners of North Texas
• Home Health Home Care, LLC
• Home Healthcare
• Home Medical Equipment, Inc.
• Home Medical Equipment, Inc.
• Home Sweet Home Loving Care LLC

• Skilled Nursing Facility in Arlington, TX
• Providers in Arlington, 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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.