Thi of Texas at Lubbock I LLC

Primary specialty

Long Term Care HospitalTaxonomy code 282E00000X

Legal business name

THI OF TEXAS AT LUBBOCK I LLC

Doing business as

Llano Specialty Hospital

Practice address

1409 9TH St
Lubbock, TX 79401-2601

Phone

(806) 767-9133

Fax

(806) 767-9033

NPI assigned

Oct 7, 2006

Organization subpart

No

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

Authorized official

Name

Dennis Fleenor

Title

President

Phone

(806) 767-9133

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Llano Specialty Hospital Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Hospital certification: CCN 452050

Legal name

LLANO SPECIALTY HOSPITAL

Certification status

Terminated Voluntary: merger or closure, Mar 3, 2014

Provider type (POS)

Hospital – Long-term

Participating since

Jun 1, 1995

Last certification

Nov 30, 2012

Beds

30

Ownership / control type

Private (for profit)

Most recent change of ownership

Sep 26, 2003 (4 total)

Facility address

1409 9TH St
Lubbock, TX 79401

Hospital certification: CCN 453069

Legal name

HORIZON SPECIALTY HOSP LUBBOCK

Certification status

Terminated Other: provider status change, May 31, 1995

Provider type (POS)

Hospital – Rehabilitation

Participating since

Oct 21, 1994

Last certification

Oct 21, 1994

Beds

30

Ownership / control type

Private (for profit)

Facility address

1409 9TH St
Lubbock, TX 79401

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

{
    "created_epoch": "1160179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342742400000",
    "number": "1578650768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 RIDGEBROOK RD",
            "city": "SPARKS",
            "state": "MD",
            "postal_code": "211529390",
            "telephone_number": "410-773-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 9TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794012601",
            "telephone_number": "806-767-9133",
            "fax_number": "806-767-9033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THI OF TEXAS AT LUBBOCK I LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-07",
        "last_updated": "2012-07-20",
        "status": "A",
        "authorized_official_last_name": "FLEENOR",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "806-767-9133"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165656301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Llano Specialty Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joshua Simon Theis, MD
• Therapractic Management Systems
• Chelsea Thero, PTA
• Justin Thetford, MS, LPC-ASSOCIATE
• Thi Immediate Healthcare Staffing LLC
• Thi of Texas at Lubbock II, LLC
• Ben Thiravetyan, M.D.
• Seshadri D Thirumala, MD
• THMS Inc
• Thomas F. Neal, M.D., Stan E. Potocki, M.D., Professional Association

• Long Term Care Hospital in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Long Term Care Hospital in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.