Val Verde County Hospital District

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

VAL VERDE COUNTY HOSPITAL DISTRICT

Doing business as

Concho Health & Rehabilitation

Practice address

613 Eaker Street
Eden, TX 76837-0838

Phone

(325) 869-5531

Fax

(325) 869-5152

NPI assigned

Oct 28, 2008

Last updated

Mar 2, 2021By 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. Linda Walker

Title

Chief Executive Officer

Phone

(830) 775-8566

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Concho Health & Rehabilitation Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Val Verde County Hospital District

  dba Pearsall Nursing and Rehabilitation Center

  • Skilled Nursing Facility
  • Pearsall, TX
  • NPI 1275026460

  Member Of

  NPD member

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614643200000",
    "number": "1447403118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 INTERNATIONAL PLZ STE 600",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094831",
            "telephone_number": "817-348-8959",
            "fax_number": "817-348-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 EAKER STREET",
            "city": "EDEN",
            "state": "TX",
            "postal_code": "768370838",
            "telephone_number": "325-869-5531",
            "fax_number": "325-869-5152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAL VERDE COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-01",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "830-775-8566",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE VENDOR",
            "identifier": "005173",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001016458",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Concho Health & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Concho Health & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Provider Healthcare Services of Concho LP
• Randall L. Sloan, D.O., PLLC
• Kelli J Short, FNP
• Kelsey Torres
• Girly Orlando Tubayan, PTA
• West Wharton County Hospital District (Concho Health & Rehabilitation Center)

• Skilled Nursing Facility in Eden, TX
• Providers in Eden, 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 Mar 2, 2021; 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.