NPIMap

Organization Active NPI

Holiday Lodge Healthcare Center

  • Skilled Nursing Facility
  • Haskell, TX
National Provider Identifier
1346237179
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
675411 Issued in TX
Legal business name
HOLIDAY LODGE HEALTHCARE CENTER
Practice address
558 County Road 423
Haskell, TX 79521-9030
Phone
(940) 864-2350
NPI assigned
Oct 6, 2005
Last updated
Aug 22, 2020By the provider in NPPES
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
Mrs. Yovnne Marie Roysdon, REGISTERED NURSE
Title
Director of Nursing
Phone
(325) 576-3643

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 675411 TX Primary

Addresses

Primary practice location

558 County Road 423
Haskell, TX 79521-9030

Mailing address

425 SW Avenue F
Hamlin, TX 79520-4615
Phone (325) 576-3643

Other names 1

  • Senior Living Properties Other name

National Provider Directory

National Provider Directory
Tax ID family
Hill Country 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": "1346237179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 SW AVENUE F",
            "city": "HAMLIN",
            "state": "TX",
            "postal_code": "795204615",
            "telephone_number": "325-576-3643",
            "fax_number": "325-576-3913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "558 COUNTY ROAD 423",
            "city": "HASKELL",
            "state": "TX",
            "postal_code": "795219030",
            "telephone_number": "940-864-2350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLIDAY LODGE HEALTHCARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROYSDON",
        "authorized_official_first_name": "YOVNNE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "325-576-3643",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "675411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Senior Living Properties",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Haskell, 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.