Active NPI
Rancier Nursing Center Inc
- Skilled Nursing Facility
- Killeen, TX
National Provider Identifier
1356434278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 116826
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000428806 | Medicaid | TX | |
| 094417503 | Medicaid | TX | |
| 004288 | Medicaid | TX | |
| 116826 | Medicaid | TX | |
| 094417501 | Medicaid | TX |
Other names 1
- THE ROSEWOOD
National Provider Directory
National Provider DirectoryNPI 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.