Active NPI
Groveton Texas Hospital Authority
- Nursing Facility/Intermediate Care Facility
- Groveton, TX
National Provider Identifier
1376602607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- Legal business name
- GROVETON TEXAS HOSPITAL AUTHORITY
- Practice address
- 1020 W 1St St
Groveton, TX 75845 - Phone
- (936) 642-1221
- Fax
- (936) 642-2727
- NPI assigned
- Dec 6, 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
- Jennifer Lynn Cleveland, MBA
- Title
- Business Office Manager
- Phone
- (936) 642-1221
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | Primary |
Addresses
Primary practice location
1020 W 1St St
Groveton, TX 75845
Mailing address
PO Box 890
Groveton, TX 75845-0890
Phone (936) 642-1221
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000477801 | Medicaid | TX |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1230508800000",
"number": "1376602607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 890",
"city": "GROVETON",
"state": "TX",
"postal_code": "758450890",
"telephone_number": "936-642-1221",
"fax_number": "936-642-2727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 W 1ST ST",
"city": "GROVETON",
"state": "TX",
"postal_code": "75845",
"telephone_number": "936-642-1221",
"fax_number": "936-642-2727"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GROVETON TEXAS HOSPITAL AUTHORITY",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-06",
"last_updated": "2008-12-29",
"status": "A",
"authorized_official_last_name": "CLEVELAND",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
"authorized_official_telephone_number": "936-642-1221",
"authorized_official_credential": "MBA"
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000477801",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Groveton, TX
- Golden Pond Counseling
- Groveton Emergency Medical Service Inc
- Groveton I Enterprises LLC (Groveton Nursing Home)
- Groveton I Enterprises, LLC (Groveton Assisted Living)
- Groveton Independent School District
- Groveton Texas Hospital Authority (Goveton Nursing Home)
- Ruth Nicole Johnson, RN
- Keith Edward Jones, PA-C
- Lone Star Expeditions, Inc.
- Francis Dawn McElreath, CPHT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.