Waco SNF LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

WACO SNF LLC

Doing business as

Wesley Woods Health & Rehabilitation

Practice address

1700 Woodgate Dr
Waco, TX 76712-8600

Phone

(254) 666-5454

Fax

(254) 666-5459

NPI assigned

Jul 14, 2015

Last updated

Jul 14, 2015By 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. Eliezer Scheiner

Title

Member

Phone

(718) 338-2999

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Wesley Woods Health & Rehabilitation Doing business as

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436832000000",
    "number": "1477937068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2071 FLATBUSH AVE",
            "address_2": "SUITE 22",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112344340",
            "telephone_number": "718-338-2999",
            "fax_number": "718-338-3837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 WOODGATE DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767128600",
            "telephone_number": "254-666-5454",
            "fax_number": "254-666-5459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WACO SNF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-14",
        "last_updated": "2015-07-14",
        "status": "A",
        "authorized_official_last_name": "SCHEINER",
        "authorized_official_first_name": "ELIEZER",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "718-338-2999",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101740",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wesley Woods Health & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Waco Vision Center, PLLC
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• Skilled Nursing Facility in Waco, TX
• Providers in Waco, 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 Jul 14, 2015; 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.