Legend Healthcare Gladewater, LP
Organization Active NPI Skilled Nursing Facility · Gladewater, TX
NPI 1508953399 · NPPES record last updated Mar 25, 2015
Key facts
- NPI
- 1508953399
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 5326 (TX)
- Legal business name
- LEGEND HEALTHCARE GLADEWATER, LP
- Practice address
- 1201 FM 2685
Gladewater, TX 75647 - Phone
- (903) 845-2175
- Fax
- (903) 844-2435
- NPI assigned
- Oct 5, 2006
- Organization subpart
- No
Authorized official
- Name
- Martin Tomerlin
- Title
- President
- Phone
- (210) 564-0100
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 5326 | TX | Yes |
Addresses
Primary practice location
1201 FM 2685
Gladewater, TX 75647
Mailing address
1390 E Bitters Rd
San Antonio, TX 78216-2914
Phone (210) 564-0100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001012874 | Medicaid | TX |
Other names
- Legend Oaks Healthcare and Rehab Ctr - Gladewater
Other providers in Gladewater, TX
- Kcam Consulting
- Kala Brown Kegarise
- L-M-R Health Care Services Inc
- Iesha Michelle Lane
- Edward Chestley Ledbetter
- Longview Walk-in Clinic
- Aubrey Kay Lucas
- Raymonda Kay Lucas
- Geraci Mack
- Debra Sue Mahoney
All providers in Gladewater, TX · Skilled Nursing Facility in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.