Ft. Stockton

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

112531 Issued in TX

Legal business name

FT. STOCKTON

Practice address

501 N Sycamore St
Fort Stockton, TX 79735-4602

Phone

(432) 336-7631

Fax

(432) 336-8870

NPI assigned

Jun 30, 2005

Organization subpart

No

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

Authorized official

Name

Jorge L Garcia, LNFA, MBA

Title

Administrator

Phone

(432) 336-7631

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568469872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N SYCAMORE ST",
            "city": "FORT STOCKTON",
            "state": "TX",
            "postal_code": "797354602",
            "telephone_number": "432-336-7631",
            "fax_number": "432-336-8870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N SYCAMORE ST",
            "city": "FORT STOCKTON",
            "state": "TX",
            "postal_code": "797354602",
            "telephone_number": "432-336-7631",
            "fax_number": "432-336-8870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FT. STOCKTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "432-336-7631",
        "authorized_official_credential": "LNFA, MBA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "112531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• H K a Corporation

• Skilled Nursing Facility in Fort Stockton, TX
• Providers in Fort Stockton, 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 Aug 22, 2020; 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.