NPIMap

Organization Active NPI

City of Ennis

Doing business as Garland Nursing & Rehabilitation

  • Skilled Nursing Facility
  • Garland, TX
National Provider Identifier
1497359590
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CITY OF ENNIS
Doing business as
Garland Nursing & Rehabilitation
Practice address
321 N Shiloh Rd
Garland, TX 75042-6610
Phone
(972) 276-9571
Fax
(972) 272-8660
NPI assigned
Nov 30, 2020
Last updated
Nov 30, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

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

Authorized official

Name
Stephen Barnes
Title
Finance Director
Phone
(972) 875-1234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

321 N Shiloh Rd
Garland, TX 75042-6610

Mailing address

321 N Shiloh Rd
Garland, TX 75042-6610
Phone (972) 276-9571

Other names 1

  • Garland Nursing & Rehabilitation Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210219002421 TX Part A Provider - Skilled Nursing Facility 6507982717 Practice locations: Garland, TX

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0476652City of Ennis321 N Shiloh Rd, Garland, TX 75042Certificate of waiverJun 10, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Killeen Nursing & RehabilitationKilleen, TX, CCN 676438 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2020
Trinity Nursing & Rehab of GranburyGranbury, TX, CCN 675084 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 10, 2021
Parkwood in the PinesLufkin, TX, CCN 455673 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 16, 2021

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606694400000",
    "number": "1497359590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 N SHILOH RD",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750426610",
            "telephone_number": "972-276-9571",
            "fax_number": "972-272-8660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N SHILOH RD",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750426610",
            "telephone_number": "972-276-9571",
            "fax_number": "972-272-8660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF ENNIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-30",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "972-875-1234"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Garland Nursing & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garland, TX

Sources for this page

Verify at the official NPI Registry.