Terrick Properties Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

113881 Issued in TX

Legal business name

TERRICK PROPERTIES INC

Doing business as

Southern Specialty Rehab and Nursing

Practice address

4320 W 19TH St
Lubbock, TX 79407-2407

Phone

(806) 795-1774

Fax

(806) 795-4652

NPI assigned

May 23, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Richard Ruble

Title

President

Phone

(806) 780-7000

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Southern Specialty Rehab and Nursing Doing business as

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279152000000",
    "number": "1588667604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4320 W 19TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794072407",
            "telephone_number": "806-795-1774",
            "fax_number": "806-795-4652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 W 19TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794072407",
            "telephone_number": "806-795-1774",
            "fax_number": "806-795-4652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRICK PROPERTIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2010-07-15",
        "status": "A",
        "authorized_official_last_name": "RUBLE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "806-780-7000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "113881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171058401",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001012545",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4235",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Specialty Rehab and Nursing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kyler Luke Templeton, LAT
• Joy Catherine Tenpenny, M.D.
• Elaine Esmeralda Teoh, O.D.
• Teresa Balawejder (Advanced Behavior and Achievement)
• Stacy Terrell, LPC
• Terry Gage, MD
• Amy Dawn Hartley Terry, MS-SLP/CCC
• Dianna Terry, BCBA
• Misty Teseniar
• Victor J. Test, M.D.

• Skilled Nursing Facility in Lubbock, TX
• Providers in Lubbock, 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 Jul 15, 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.