Active NPI
Lubbock Retirement and Rehabilitation Center
- Skilled Nursing Facility
- Lubbock, TX
National Provider Identifier
1407480429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- LUBBOCK RETIREMENT AND REHABILITATION CENTER
- Practice address
- 4510 27TH St
Lubbock, TX 79410-1709 - Phone
- (806) 795-4368
- NPI assigned
- Feb 28, 2020
- 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
- Jack H Sanders
- Title
- Managing Member
- Phone
- (318) 590-0007
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
4510 27TH St
Lubbock, TX 79410-1709
Mailing address
145 N Highland Dr
Many, LA 71449-3715
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582848000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1582848000000",
"number": "1407480429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 N HIGHLAND DR",
"city": "MANY",
"state": "LA",
"postal_code": "714493715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4510 27TH ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794101709",
"telephone_number": "806-795-4368"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUBBOCK RETIREMENT AND REHABILITATION CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-28",
"last_updated": "2020-02-28",
"certification_date": "2020-02-28",
"status": "A",
"authorized_official_last_name": "SANDERS",
"authorized_official_first_name": "JACK",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "318-590-0007"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.