Organization Active NPI

Preferred Care Health Facilities of Texas I Inc

Doing business as Ennis Care Center

  • Skilled Nursing Facility
  • Ennis, TX
National Provider Identifier
1467434431
Registry record updated Apr 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
112245 Issued in TX
Legal business name
PREFERRED CARE HEALTH FACILITIES OF TEXAS I INC
Doing business as
Ennis Care Center
Practice address
1200 S Hall St
Ennis, TX 75119-6318
Phone
(972) 875-9051
Fax
(972) 875-9201
NPI assigned
Nov 16, 2005
Last updated
Apr 6, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2016

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

Authorized official

Name
Mrs. Jamie Latture Collier
Title
Director of Reimbursement
Phone
(972) 931-3800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 112245 TX Primary

Addresses

Primary practice location

1200 S Hall St
Ennis, TX 75119-6318

Mailing address

5420 W Plano Pkwy
Plano, TX 75093-4823
Phone (972) 931-3800

Other identifiers 1

IdentifierTypeStateIssuer
000442006MedicaidTX

Other names 1

  • Ennis Care Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459900800000",
    "number": "1467434431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5420 W PLANO PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934823",
            "telephone_number": "972-931-3800",
            "fax_number": "972-767-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S HALL ST",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751196318",
            "telephone_number": "972-875-9051",
            "fax_number": "972-875-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED CARE HEALTH FACILITIES OF TEXAS I INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-16",
        "last_updated": "2016-04-06",
        "status": "A",
        "authorized_official_last_name": "COLLIER",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "LATTURE",
        "authorized_official_title_or_position": "DIRECTOR OF REIMBURSEMENT",
        "authorized_official_telephone_number": "972-931-3800",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "112245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000442006",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ennis Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ennis, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2016; 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.