Pecan Valley Nursing and Rehab Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PECAN VALLEY NURSING AND REHAB CENTER LLC

Doing business as

Pecan Valley Nursing and Rehab Center

Practice address

1405 W Storey St
San Saba, TX 76877-6422

Phone

(325) 372-5112

Fax

(325) 372-5114

NPI assigned

Aug 15, 2012

Last updated

Jan 18, 2013By 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

Mr. Dudley Bumpass

Title

Secretary

Phone

(254) 716-3614

Specialties & licenses 1

Addresses

Other names 1

• Pecan Valley Nursing and Rehab Center Doing business as

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

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358467200000",
    "number": "1477801934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 E COMMERCE ST",
            "city": "FAIRFIELD",
            "state": "TX",
            "postal_code": "758401603",
            "telephone_number": "903-389-1009",
            "fax_number": "903-389-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 W STOREY ST",
            "city": "SAN SABA",
            "state": "TX",
            "postal_code": "768776422",
            "telephone_number": "325-372-5112",
            "fax_number": "325-372-5114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PECAN VALLEY NURSING AND REHAB CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-15",
        "last_updated": "2013-01-18",
        "status": "A",
        "authorized_official_last_name": "BUMPASS",
        "authorized_official_first_name": "DUDLEY",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "254-716-3614",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pecan Valley Nursing and Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeffry Patrick Mays, MD
• McCulloch County Hospital District (Pecan Valley Healthcare Residence)
• Mid Coast Medical Center-Central (Mid Coast Well Care - San Saba)
• Robin Lee Levy Miller, MD
• Heather Elise Morris, FNP-BC
• Reeves Chiropractic
• Michael L Reeves, D.C.
• Regional Employee Assistance Program Inc (One Source Heatlh Center - San Saba)
• San Saba County
• San Saba County Emergency Medical Service Inc

• Skilled Nursing Facility in San Saba, TX
• Providers in San Saba, 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 Jan 18, 2013; 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.