Active NPI
Jasper Nursing and Rehabilitation LP
- Skilled Nursing Facility
- Jasper, TX
National Provider Identifier
1316933104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 109851
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 155164001 | Other | TX | TMHP (CROSS-OVER) |
| 001004349 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
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.