Active NPI
Mid-South Nursing Homes, Inc
- Skilled Nursing Facility
- Burleson, TX
National Provider Identifier
1447478862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 113805
- Legal business name
- MID-SOUTH NURSING HOMES, INC
- Doing business as
- Huguley Nursing and Rehabilitation Center
- Practice address
- 301 Huguley Blvd
Burleson, TX 76028-7506 - Phone
- (817) 551-5900
- Fax
- (817) 293-2380
- NPI assigned
- Apr 23, 2007
- 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
- Mr. Ronald M Wehtje
- Title
- VP Cfo
- Phone
- (407) 975-3010
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 113805 | TX | Primary |
Addresses
Primary practice location
301 Huguley Blvd
Burleson, TX 76028-7506
Mailing address
602 Courtland St
Suite 200
Orlando, FL 32804-1360
Phone (407) 975-3000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000525805 | Medicaid | TX | |
| 021539402 | Medicaid | TX |
Other names 1
- Huguley Nursing and Rehabilitation Center
National Provider Directory
National Provider Directory- Tax ID family
- Huguley Nursing and Rehabilitation Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Hopkinsville, KY
- NPI 1861612681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208908800000",
"number": "1447478862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "602 COURTLAND ST",
"address_2": "SUITE 200",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328041360",
"telephone_number": "407-975-3000",
"fax_number": "407-975-3090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 HUGULEY BLVD",
"city": "BURLESON",
"state": "TX",
"postal_code": "760287506",
"telephone_number": "817-551-5900",
"fax_number": "817-293-2380"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MID-SOUTH NURSING HOMES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-23",
"last_updated": "2008-04-23",
"status": "A",
"authorized_official_last_name": "WEHTJE",
"authorized_official_first_name": "RONALD",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "VP CFO",
"authorized_official_telephone_number": "407-975-3010",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "TX",
"license": "113805",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000525805",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "021539402",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Huguley Nursing and Rehabilitation Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Burleson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.