Organization Active NPI

Orange Villa Nursing and Rehabilitation LP

  • Skilled Nursing Facility
  • Orange, TX
National Provider Identifier
1457347221
Registry record updated Mar 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
112094 Issued in TX
Legal business name
ORANGE VILLA NURSING AND REHABILITATION LP
Practice address
510 3Rd St
Orange, TX 77630-5808
Phone
(409) 886-8677
Fax
(409) 886-1782
NPI assigned
Sep 27, 2005
Last updated
Mar 21, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2012

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

Authorized official

Name
Mr. Michael A Rich
Title
President
Phone
(940) 387-4388

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 112094 TX Primary

Addresses

Primary practice location

510 3Rd St
Orange, TX 77630-5808

Mailing address

401 N Elm St
Denton, TX 76201-4137
Phone (940) 387-4388

Other identifiers 2

IdentifierTypeStateIssuer
001004862MedicaidTX
161777101OtherTXTMHP (CROSSOVER)

National Provider Directory

National Provider Directory

Locations

510 3rd St
Orange, TX 77630
Phone (409) 886-8677

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332288000000",
    "number": "1457347221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N ELM ST",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762014137",
            "telephone_number": "940-387-4388",
            "fax_number": "940-380-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 3RD ST",
            "city": "ORANGE",
            "state": "TX",
            "postal_code": "776305808",
            "telephone_number": "409-886-8677",
            "fax_number": "409-886-1782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE VILLA NURSING AND REHABILITATION LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-27",
        "last_updated": "2012-03-21",
        "status": "A",
        "authorized_official_last_name": "RICH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "940-387-4388",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "112094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001004862",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TMHP (CROSSOVER)",
            "identifier": "161777101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; 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.