Tyler County Hospital District Development Corporation

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

119842 Issued in TX

Legal business name

TYLER COUNTY HOSPITAL DISTRICT DEVELOPMENT CORPORATION

Doing business as

The Orchard

Practice address

805 W Dogwood St
Woodville, TX 75979-4700

Phone

(409) 283-5678

Fax

(409) 283-2044

NPI assigned

Apr 25, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Tom Letz

Title

C.F.O.

Phone

(409) 283-5678

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Orchard Doing business as

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356560361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 W DOGWOOD ST",
            "city": "WOODVILLE",
            "state": "TX",
            "postal_code": "759794700",
            "telephone_number": "409-283-5678",
            "fax_number": "409-283-2044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 W DOGWOOD ST",
            "city": "WOODVILLE",
            "state": "TX",
            "postal_code": "759794700",
            "telephone_number": "409-283-5678",
            "fax_number": "409-283-2044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYLER COUNTY HOSPITAL DISTRICT DEVELOPMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LETZ",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "C.F.O.",
        "authorized_official_telephone_number": "409-283-5678",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "119842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003296",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Orchard",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Woodville, TX
• Providers in Woodville, TX by specialty
• Assisted Living Facility in Texas

• 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.