Panola 501 Partners, LP

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

112543 Issued in TX

Legal business name

PANOLA 501 PARTNERS, LP

Practice address

501 Cottage Rd
Carthage, TX 75633-1467

Phone

(903) 693-7141

Fax

(903) 693-4187

NPI assigned

Jul 18, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Alex Paley

Title

Coo

Phone

(914) 390-4363

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Panola Nursing & Rehabilitation Center Doing business as

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

CLIA laboratory certificates

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202774400000",
    "number": "1528067121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 COTTAGE RD",
            "city": "CARTHAGE",
            "state": "TX",
            "postal_code": "756331467",
            "telephone_number": "903-693-7141",
            "fax_number": "903-693-4187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 COTTAGE RD",
            "city": "CARTHAGE",
            "state": "TX",
            "postal_code": "756331467",
            "telephone_number": "903-693-7141",
            "fax_number": "903-693-4187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANOLA 501 PARTNERS, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-18",
        "last_updated": "2008-02-12",
        "status": "A",
        "authorized_official_last_name": "PALEY",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "914-390-4363",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "112543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1004345",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Panola Nursing & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrea D Oliver, APRN
• Kende Oliver
• Kelcie Lauren Oney, OTR
• Prissi Owens
• Stephanie Ann Page, BSN, RN
• Panola Charter School
• Panola Dental, PLLC
• Panola Emergency Medicine Associates PA
• Jim Jason Phillips, MD
• Shannon E Phillips Jr., N.P.

• All providers in Carthage, TX
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.