La Dora Management, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

116904 Issued in TX

Legal business name

LA DORA MANAGEMENT, INC.

Doing business as

La Dora Nursing & Rehab Center

Practice address

1960 Bedford Rd
Bedford, TX 76021-5722

Phone

(817) 283-4771

Fax

(817) 283-4020

NPI assigned

Oct 25, 2006

Last updated

Apr 27, 2010By 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

Bryan Christopher Stephens, LNFA

Title

Administrator

Phone

(817) 283-4771

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• La Dora Nursing & Rehab Center Doing business as

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272326400000",
    "number": "1396820890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1960 BEDFORD RD.",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760215712",
            "telephone_number": "817-283-4771",
            "fax_number": "817-283-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1960 BEDFORD RD",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760215722",
            "telephone_number": "817-283-4771",
            "fax_number": "817-283-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA DORA MANAGEMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2010-04-27",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "817-283-4771",
        "authorized_official_credential": "LNFA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "116904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID TEXAS PROVIDER IDENTIFIER",
            "identifier": "165683701",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001004568",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Dora Nursing & Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vicki Lee Kussmaul, R.D.
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• Peter C Kwong, MD1
• Kaitlyn Kyei, MS, SLP- CCC
• La Chinita Medical Clinic (Care Near Me)
• Diego Antonio La Torre Rodriguez, M.D.
• David W Labrie, PH.D
• Carole Marie Lafreniere
• Lap Tak Samuel Lam, PHARM.D
• Peter Lam, PT, DPT

• Skilled Nursing Facility in Bedford, TX
• Providers in Bedford, 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 Apr 27, 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.

Verify at the official NPI Registry.