Texan Nursing and Rehab of Gladwater LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

111915 Issued in TX

Legal business name

TEXAN NURSING AND REHAB OF GLADWATER LLC

Practice address

300 Money St
Gladewater, TX 75647-2523

Phone

(903) 845-2101

Fax

(903) 845-8249

NPI assigned

Jul 1, 2005

Organization subpart

No

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

Authorized official

Name

Jeff Reeh

Title

President

Phone

(210) 572-0701

Specialties & licenses 1

Addresses

Other names 1

• Care Inn of Gladewater, LLC Doing business as

Locations

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427055656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 OAKWELL FARMS PKWY",
            "address_2": "SUITE 255",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782181777",
            "telephone_number": "210-572-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MONEY ST",
            "city": "GLADEWATER",
            "state": "TX",
            "postal_code": "756472523",
            "telephone_number": "903-845-2101",
            "fax_number": "903-845-8249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAN NURSING AND REHAB OF GLADWATER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REEH",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-572-0701"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "111915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care Inn of Gladewater, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kenneth H. Skipper, MD
• Josh Smith
• Samantha Spiro Landry, FNP-C
• Sydney Paige Spurlock
• Michelle Stevenson Tarango, CERTIFIED HAIR LOSS
• Victoria Elizabeth Thornton
• Union Grove Isd
• Walker Pharmacy
• Sherri Willis, LVN
• Carly Ruth Wilson

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