Organization Active NPI

Jasper Nursing and Rehabilitation LP

  • Skilled Nursing Facility
  • Jasper, TX
National Provider Identifier
1316933104
Registry record updated Mar 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
109851 Issued in TX
Legal business name
JASPER NURSING AND REHABILITATION LP
Practice address
350 Springhill St
Jasper, TX 75951-4920
Phone
(409) 384-5411
Fax
(409) 384-9909
NPI assigned
Sep 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2012

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

Authorized official

Name
Mr. Michael A Rich
Title
President
Phone
(940) 387-4388

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 109851 TX Primary

Addresses

Primary practice location

350 Springhill St
Jasper, TX 75951-4920

Mailing address

401 N Elm St
Denton, TX 76201-4137
Phone (940) 387-4388

Other identifiers 2

IdentifierTypeStateIssuer
155164001OtherTXTMHP (CROSS-OVER)
001004349MedicaidTX

National Provider Directory

National Provider Directory

Locations

350 Springhill St
Jasper, TX 75951
Phone (409) 384-5411

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330992000000",
    "number": "1316933104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N ELM ST",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762014137",
            "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": "350 SPRINGHILL ST",
            "city": "JASPER",
            "state": "TX",
            "postal_code": "759514920",
            "telephone_number": "409-384-5411",
            "fax_number": "409-384-9909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASPER NURSING AND REHABILITATION LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-27",
        "last_updated": "2012-03-06",
        "status": "A",
        "authorized_official_last_name": "RICH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "940-387-4388",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "109851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TMHP (CROSS-OVER)",
            "identifier": "155164001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001004349",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; 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.