House Medical Convalescent Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

117665 Issued in TX

Legal business name

HOUSE MEDICAL CONVALESCENT INC

Doing business as

Bell Haven Nursing Center

Practice address

1002 Medical Dr
Killeen, TX 76543-3525

Phone

(254) 634-0374

Fax

(254) 634-4679

NPI assigned

Jul 9, 2006

Last updated

Aug 22, 2020By 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

Ms. Kimberly Michelle Scullark

Title

Medicare Coordinator

Phone

(863) 646-5951

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• BELL HAVEN NURSING CENTER Doing business as

Locations

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407889611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 MEDICAL DR",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765433525",
            "telephone_number": "254-634-0374",
            "fax_number": "254-634-4679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 MEDICAL DR",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765433525",
            "telephone_number": "254-634-0374",
            "fax_number": "254-634-4679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSE MEDICAL CONVALESCENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCULLARK",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "MEDICARE COORDINATOR",
        "authorized_official_telephone_number": "863-646-5951",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "117665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0473640001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BELL HAVEN NURSING CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Olivia Hopkins
• Pamela Hornbeck, CPNP
• Derina Horton-Garcia, CERTIFIED HAIR LOSS
• Kathy Hosler
• Catherine June Hotard, LCSW
• Franklin Richard House Jr., DDS
• Sherry Jetton Houston, NP-C
• Travis Hoverman
• Ehren Gordon Howard, PT
• Karen Howard, RPH

• Skilled Nursing Facility in Killeen, TX
• Providers in Killeen, 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.