NPIMap

Organization Active NPI

Titus County Hospital District

Doing business as Willow Rehab & Nursing

  • Skilled Nursing Facility
  • Kilgore, TX
National Provider Identifier
1376942656
Registry record updated Aug 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
TITUS COUNTY HOSPITAL DISTRICT
Doing business as
Willow Rehab & Nursing
Practice address
1901 Whipporwill LN
Kilgore, TX 75662-3880
Phone
(903) 983-7775
Fax
(903) 984-2244
NPI assigned
Aug 22, 2014
Last updated
Aug 22, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2014

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

Authorized official

Name
Terry Scoggin
Title
Cfo
Phone
(903) 577-6066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

1901 Whipporwill LN
Kilgore, TX 75662-3880

Mailing address

1901 Whipporwill LN
Kilgore, TX 75662-3880
Phone (903) 983-7775

Other identifiers 1

IdentifierTypeStateIssuer
101801MedicaidTX

Other names 1

  • WILLOW REHAB & NURSING Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Clarksville Nursing Center7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1408665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408665600000",
    "number": "1376942656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 WHIPPORWILL LN",
            "city": "KILGORE",
            "state": "TX",
            "postal_code": "756623880",
            "telephone_number": "903-983-7775",
            "fax_number": "903-984-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 WHIPPORWILL LN",
            "city": "KILGORE",
            "state": "TX",
            "postal_code": "756623880",
            "telephone_number": "903-983-7775",
            "fax_number": "903-984-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TITUS COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-22",
        "last_updated": "2014-08-22",
        "status": "A",
        "authorized_official_last_name": "SCOGGIN",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "903-577-6066"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WILLOW REHAB & NURSING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kilgore, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2014; 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.