Active NPI
Corsicana Health Care LLC
Doing business as Country Meadows Nursing and Rehabilitation Center
- Skilled Nursing Facility
- Corsicana, TX
National Provider Identifier
1417119116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- CORSICANA HEALTH CARE LLC
- Doing business as
- Country Meadows Nursing and Rehabilitation Center
- Practice address
- 3301 W Park Row Blvd
Corsicana, TX 75110-4846 - Phone
- (903) 872-2455
- Fax
- (903) 874-7286
- NPI assigned
- Jun 25, 2008
- Last updated
- Sep 14, 2011
- 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
- Herbert Houser
- Title
- President
- Phone
- (903) 872-2455
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
3301 W Park Row Blvd
Corsicana, TX 75110-4846
Mailing address
920 Ridgebrook Rd
Sparks, MD 21152-9390
Phone (410) 773-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001016199 | Medicaid | TX |
Other names 1
- Country Meadows Nursing and Rehabilitation Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214352000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1315958400000",
"number": "1417119116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 RIDGEBROOK RD",
"city": "SPARKS",
"state": "MD",
"postal_code": "211529390",
"telephone_number": "410-773-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3301 W PARK ROW BLVD",
"city": "CORSICANA",
"state": "TX",
"postal_code": "751104846",
"telephone_number": "903-872-2455",
"fax_number": "903-874-7286"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORSICANA HEALTH CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-25",
"last_updated": "2011-09-14",
"status": "A",
"authorized_official_last_name": "HOUSER",
"authorized_official_first_name": "HERBERT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "903-872-2455"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001016199",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Country Meadows Nursing and Rehabilitation Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Corsicana, TX
- Corsicana Cancer Center
- Corsicana Childrens Dental Associates
- Corsicana Chiropractic, LLC
- Corsicana Envision Eyecare PA
- Corsicana First Eyecare PLLC
- Corsicana Hometown Dental
- Corsicana II Enterprises, L.L.C. (Legacy at Corsicana Rehabilitation and Healthcare)
- Corsicana III Enterprises, L.L.C. (The Village at Heritage Oaks)
- Corsicana Isd
- Corsicana IV Enterprises, L.L.C. (The Village at Heritage Oaks Assisted Living)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.