Legend Healthcare Gainesville, LP

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

5292 Issued in TX

Legal business name

LEGEND HEALTHCARE GAINESVILLE, LP

Practice address

1900 E California St
Gainesville, TX 76240-4400

Phone

(210) 564-0100

Fax

(210) 564-0157

NPI assigned

Sep 25, 2006

Organization subpart

No

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

Authorized official

Name

Martin Tomerlin

Title

President

Phone

(210) 564-0100

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386745313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 SANDAU RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782164131",
            "telephone_number": "210-564-0100",
            "fax_number": "210-564-0157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 E CALIFORNIA ST",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762404400",
            "telephone_number": "210-564-0100",
            "fax_number": "210-564-0157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGEND HEALTHCARE GAINESVILLE, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TOMERLIN",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-564-0100"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "5292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Franz ------------------- Klutschkowski, ED.D.
• Judy Krahl
• Patrick K Kwan, M. D.
• Lake Kiowa Medical Clinic
• Amber R Lavender, FNP
• Douglas T. Lewis, M.D.
• Rebekah Lewis, CPM, LM
• Lincoln James Prime PLLC
• Lisa Roy MD Professional Association
• Local Hearts, LLC

• Skilled Nursing Facility in Gainesville, TX
• Providers in Gainesville, TX by specialty
• Skilled Nursing 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.