Texas - Waverley Group, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

112008 Issued in TX

Legal business name

TEXAS - WAVERLEY GROUP, INC.

Practice address

1108 W Kilpatrick St
Cleburne, TX 76033-7477

Phone

(817) 645-3931

NPI assigned

Nov 1, 2005

Organization subpart

Yes

Parent organization

TEXAS-WAVERLEY GROUP,INC.As reported in NPPES

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

Authorized official

Name

Mr. Chauncey R. Dunbar, CPA

Title

Secretary / Treasurer

Phone

(601) 956-1576

Specialties & licenses 1

Addresses

Other names 1

• Cleburne Rehabilitation and Health Care Center Doing business as

Tax ID family

Texas - Waverley Group Inc2 organizations share this tax ID, including this one

Part of

Texas - Waverley Group Inc

Other organizations with this tax ID 1

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

• Texas -Waverley Group, Inc.

  • Skilled Nursing Facility
  • Corsicana, TX
  • NPI 1124019955
  NPD tax ID

Locations

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

{
    "created_epoch": "1130803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185321600000",
    "number": "1316938145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 W KILPATRICK ST",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760337477",
            "telephone_number": "817-645-3931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 W KILPATRICK ST",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760337477",
            "telephone_number": "817-645-3931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS - WAVERLEY GROUP, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TEXAS-WAVERLEY GROUP,INC.",
        "enumeration_date": "2005-11-01",
        "last_updated": "2007-07-25",
        "status": "A",
        "authorized_official_last_name": "DUNBAR",
        "authorized_official_first_name": "CHAUNCEY",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "SECRETARY / TREASURER",
        "authorized_official_telephone_number": "601-956-1576",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "112008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cleburne Rehabilitation and Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carolyn Christi Taylor, LCDC, LMSW
• Jane Marie Teders
• Jason W Tennison, DMD, MS
• Glen Robert Tessman, D.C.
• Texans for Chiropractic Wellness
• Texas DME Inc
• Texas Gastroenterology PLLC
• Texas Health Care PLLC
• Texas Health Harris Methodist Hospital Cleburne
• Texas Health Harris Methodist Hospital Cleburne

• Skilled Nursing Facility in Cleburne, TX
• Providers in Cleburne, 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 Jul 25, 2007; 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.