Park Haven Nursing and Rehabilitation, L.P.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

109686 Issued in TX

Legal business name

PARK HAVEN NURSING AND REHABILITATION, L.P.

Practice address

3500 Park St
Greenville, TX 75401-5159

Phone

(903) 455-2220

Fax

(903) 455-0343

NPI assigned

Sep 27, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Michael A Rich

Title

President

Phone

(940) 387-4388

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332288000000",
    "number": "1538155304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N ELM ST",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762014137",
            "telephone_number": "940-387-4388",
            "fax_number": "940-380-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 PARK ST",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754015159",
            "telephone_number": "903-455-2220",
            "fax_number": "903-455-0343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK HAVEN NURSING AND REHABILITATION, L.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-27",
        "last_updated": "2012-03-21",
        "status": "A",
        "authorized_official_last_name": "RICH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "940-387-4388",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "109686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TMHP(CROSS OVER)",
            "identifier": "156542601",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001004402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharen Hopewell Ozarowski, FNP
• Sarah Padilla
• Kristen Paige Palmer, LVN
• Yash Swapnesh Parikh, DPM
• Paris Psychiatric Associates PA
• Dale Park, RPH
• Katherine Chhor Parker, O.D.
• Riley Parker, PA-C
• Lana Ladell Parks, RN
• Patchwork Kids LLC

• Skilled Nursing Facility in Greenville, TX
• Providers in Greenville, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; 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.