Organization Active NPI

Hospitality House of Hebbronville

  • Skilled Nursing Facility
  • Hebbronville, TX
National Provider Identifier
1497801138
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
05820 Issued in TX
Legal business name
HOSPITALITY HOUSE OF HEBBRONVILLE
Practice address
606 W Gruy St
Hebbronville, TX 78361-3118
Phone
(361) 527-4411
Fax
(361) 527-4571
NPI assigned
Jan 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Duane C Drake, LNFA
Title
Sec., Treas., Admin
Phone
(361) 664-4366

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 05820 TX Primary

Addresses

Primary practice location

606 W Gruy St
Hebbronville, TX 78361-3118

Mailing address

606 W Gruy St
Hebbronville, TX 78361-3118
Phone (361) 527-4411

Other identifiers 1

IdentifierTypeStateIssuer
005389MedicaidTX

National Provider Directory

National Provider Directory

Locations

606 W Gruy St
Hebbronville, TX 78361
Phone (361) 527-4366

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497801138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 W GRUY ST",
            "city": "HEBBRONVILLE",
            "state": "TX",
            "postal_code": "783613118",
            "telephone_number": "361-527-4411",
            "fax_number": "361-527-4571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 W GRUY ST",
            "city": "HEBBRONVILLE",
            "state": "TX",
            "postal_code": "783613118",
            "telephone_number": "361-527-4411",
            "fax_number": "361-527-4571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITALITY HOUSE OF HEBBRONVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DRAKE",
        "authorized_official_first_name": "DUANE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SEC., TREAS., ADMIN",
        "authorized_official_telephone_number": "361-664-4366",
        "authorized_official_credential": "LNFA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "05820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005389",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hebbronville, TX

Sources for this page

  • 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.