West Texas LTC Partners, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

124667 Issued in TX

Legal business name

WEST TEXAS LTC PARTNERS, INC.

Practice address

1915 Greenwood St
San Angelo, TX 76901-1112

Phone

(325) 942-0677

Fax

(325) 942-1331

NPI assigned

May 8, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Louis Frederick Nicholson III, LNFA

Title

President

Phone

(832) 489-9944

Specialties & licenses 4

Addresses

Other identifiers 2

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516406400000",
    "number": "1407023518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 GREENWOOD ST",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769011112",
            "telephone_number": "325-942-0677",
            "fax_number": "325-942-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 GREENWOOD ST",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769011112",
            "telephone_number": "325-942-0677",
            "fax_number": "325-942-1331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST TEXAS LTC PARTNERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-08",
        "last_updated": "2018-01-20",
        "status": "A",
        "authorized_official_last_name": "NICHOLSON",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "FREDERICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-489-9944",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "LNFA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "124667",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "001016152",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "676068",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "5236",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5236",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001016152",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• West Texas Healthcare LLC
• West Texas Medical Associates
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• West Texas Medical Associates
• West Texas Nephrology Associates

• Skilled Nursing Facility in San Angelo, TX
• Providers in San Angelo, 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 Jan 20, 2018; 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.