Lufkin LTC LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

107684 Issued in TX

Legal business name

LUFKIN LTC LLC

Doing business as

The Grace Care Center of Lufkin

Practice address

504 N John Redditt Dr
Lufkin, TX 75904-2644

Phone

(936) 632-3331

Fax

(936) 634-1611

NPI assigned

Jun 18, 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

Jake Hallsted

Title

President

Phone

(832) 448-3700

Specialties & licenses 1

Addresses

Other names 1

• The Grace Care Center of Lufkin Doing business as

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437194032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 N JOHN REDDITT DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759042644",
            "telephone_number": "936-632-3331",
            "fax_number": "936-634-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 N JOHN REDDITT DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759042644",
            "telephone_number": "936-632-3331",
            "fax_number": "936-634-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUFKIN LTC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HALLSTED",
        "authorized_official_first_name": "JAKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-448-3700"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "107684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Grace Care Center of Lufkin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lufkin Healthcare, LLC
• Lufkin I Enterprises, LLC (Castle Pines Health & Rehabilitation)
• Lufkin II Enterprises, LLC (Lufkin Skilled Care)
• Lufkin Independent School District
• Lufkin Lifestyle and Family Medicine PLLC
• Lufkin Physician Services PA
• Lufkin Plastic Surgery PLLC
• Lufkin Radiology Associates
• Lufkin SNF LLC (Parkwood Place Healthcare Center)
• Lufkin Total Point ER LLC (McKinney Total Point ER LLC)

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