NPIMap

Organization Active NPI

Claystone Healthcare Center

  • Skilled Nursing Facility
  • Ennis, TX
National Provider Identifier
1316935182
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
110537 Issued in TX
Legal business name
CLAYSTONE HEALTHCARE CENTER
Practice address
1107 S Clay St
Ennis, TX 75119-6414
Phone
(972) 875-8411
NPI assigned
Oct 6, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Courtney Hopkins, LVN
Title
Medicare Manager
Phone
(972) 875-8411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 110537 TX Primary

Addresses

Primary practice location

1107 S Clay St
Ennis, TX 75119-6414

Mailing address

1107 S Clay St
Ennis, TX 75119-6414

National Provider Directory

National Provider Directory
Tax ID family
Valley View Healthcare28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316935182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 S CLAY ST",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751196414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 S CLAY ST",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751196414",
            "telephone_number": "972-875-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAYSTONE HEALTHCARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOPKINS",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "MEDICARE MANAGER",
        "authorized_official_telephone_number": "972-875-8411",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "110537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ennis, TX

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.