Organization Active NPI

House Cross Care Center

Doing business as Indian Oaks

  • Skilled Nursing Facility
  • Harker Heights, TX
National Provider Identifier
1558454470
Registry record updated Jun 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
116740 Issued in TX
Legal business name
HOUSE CROSS CARE CENTER
Doing business as
Indian Oaks
Practice address
415 Indian Oaks
Harker Heights, TX 76548
Phone
(254) 699-5051
Fax
(254) 699-5132
NPI assigned
Oct 2, 2006
Last updated
Jun 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2010

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

Authorized official

Name
Kimberly M Scullark
Title
Medicare Coordinator
Phone
(863) 646-5951

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 116740 TX Primary

Addresses

Primary practice location

415 Indian Oaks
Harker Heights, TX 76548

Mailing address

415 Indian Oaks
Harker Heights, TX 76548
Phone (254) 699-5051

Other identifiers 3

IdentifierTypeStateIssuer
000232MedicaidTX
162892702MedicaidTX
162892701MedicaidTX

Other names 1

  • INDIAN OAKS Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275955200000",
    "number": "1558454470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 INDIAN OAKS",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "76548",
            "telephone_number": "254-699-5051",
            "fax_number": "254-699-5132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 INDIAN OAKS",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "76548",
            "telephone_number": "254-699-5051",
            "fax_number": "254-699-5132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSE CROSS CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2010-06-08",
        "status": "A",
        "authorized_official_last_name": "SCULLARK",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEDICARE COORDINATOR",
        "authorized_official_telephone_number": "863-646-5951"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "116740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000232",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162892702",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162892701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INDIAN OAKS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Harker Heights, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2010; 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.