Organization Active NPI

Rancier Nursing Center Inc

  • Skilled Nursing Facility
  • Killeen, TX
National Provider Identifier
1356434278
Registry record updated Jun 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
116826 Issued in TX
Legal business name
RANCIER NURSING CENTER INC
Practice address
5700 E Central Texas Expressway
Killeen, TX 76543
Phone
(254) 690-6169
Fax
(254) 699-2962
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2010

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

Authorized official

Name
Kimberly M Scullark
Title
Medicare Coordinator
Phone
(863) 646-5951

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 116826 TX Primary

Addresses

Primary practice location

5700 E Central Texas Expressway
Killeen, TX 76543

Mailing address

5700 E Central Texas Expressway
Killeen, TX 76543
Phone (254) 690-6169

Other identifiers 5

IdentifierTypeStateIssuer
000428806MedicaidTX
094417503MedicaidTX
004288MedicaidTX
116826MedicaidTX
094417501MedicaidTX

Other names 1

  • THE ROSEWOOD Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275955200000",
    "number": "1356434278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 E CENTRAL TEXAS EXPRESSWAY",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "76543",
            "telephone_number": "254-690-6169",
            "fax_number": "254-699-2962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 E CENTRAL TEXAS EXPRESSWAY",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "76543",
            "telephone_number": "254-690-6169",
            "fax_number": "254-699-2962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANCIER NURSING CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2010-06-08",
        "status": "A",
        "authorized_official_last_name": "SCULLARK",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEDICARE COORDINATOR",
        "authorized_official_telephone_number": "863-646-5951"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "116826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000428806",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "094417503",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004288",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116826",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "094417501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE ROSEWOOD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Killeen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2010; 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.