The Arboretum Nursing and Rehabilitation Center of Winnie, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

108035 Issued in TX

Legal business name

THE ARBORETUM NURSING AND REHABILITATION CENTER OF WINNIE, INC.

Practice address

1215 Highway 124
Winnie, TX 77665-9005

Phone

(409) 296-8200

Fax

(409) 296-8212

NPI assigned

Jul 5, 2005

Last updated

Sep 18, 2009By 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. Byron Burris II

Title

President

Phone

(361) 576-9454

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253232000000",
    "number": "1508863515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7230",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779037230",
            "telephone_number": "361-576-9454",
            "fax_number": "361-576-2994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 HIGHWAY 124",
            "city": "WINNIE",
            "state": "TX",
            "postal_code": "776659005",
            "telephone_number": "409-296-8200",
            "fax_number": "409-296-8212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ARBORETUM NURSING AND REHABILITATION CENTER OF WINNIE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-05",
        "last_updated": "2009-09-18",
        "status": "A",
        "authorized_official_last_name": "BURRIS",
        "authorized_official_first_name": "BYRON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "361-576-9454",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "108035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022013902",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001000433",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5394",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Winnie, TX
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• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2009; 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.