Health Care Center of Mineola, LTD

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

117119 Issued in TX

Legal business name

HEALTH CARE CENTER OF MINEOLA, LTD

Practice address

716 Mimosa Dr
Mineola, TX 75773-2612

Phone

(903) 569-5366

NPI assigned

Jul 11, 2006

Organization subpart

No

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

Authorized official

Name

Royce Freebourn

Title

Ceo

Phone

(940) 442-6020

Specialties & licenses 1

Addresses

Other names 1

• Pine Valley Care Center Doing business as

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487689592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1714 TEASLEY LN",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762057795",
            "telephone_number": "940-442-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 MIMOSA DR",
            "city": "MINEOLA",
            "state": "TX",
            "postal_code": "757732612",
            "telephone_number": "903-569-5366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH CARE CENTER OF MINEOLA, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FREEBOURN",
        "authorized_official_first_name": "ROYCE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "940-442-6020"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "117119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pine Valley Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Grace Community Healthcare Ministry
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• Kyle L Gully, MD
• Andy Mark Hawari, O.D.
• Brianna Lynn Hazelwood, RN
• Hearinglife Texas, LLC
• Helping Hand Counseling and Trauma Recovery, PLLC
• Heidi Leann Hoke, PHD, ND, CHT.
• Robert Hope, PT
• Hopkins County Hospital District

• Skilled Nursing Facility in Mineola, TX
• Providers in Mineola, 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 Aug 22, 2020; 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.