Active NPI
Nurse-Con Corporation
Doing business as Elmwood Nursing Center
- Nursing Facility/Intermediate Care Facility
- Marlin, TX
National Provider Identifier
1588748065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- License
- 115348
- Legal business name
- NURSE-CON CORPORATION
- Doing business as
- Elmwood Nursing Center
- Practice address
- 221 Virginia Ave
Marlin, TX 76661-2160 - Phone
- (254) 883-5548
- Fax
- (254) 803-2407
- NPI assigned
- Oct 24, 2006
- Last updated
- Jul 7, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Debra Lynn Hancock
- Title
- Vice President / Board of Directors
- Phone
- (214) 348-0134
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | 115348 | TX | Primary |
Addresses
Primary practice location
221 Virginia Ave
Marlin, TX 76661-2160
Mailing address
221 Virginia Ave
Marlin, TX 76661-2160
Phone (254) 883-5548
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000475201 | Medicaid | TX |
Other names 1
- Elmwood Nursing Center
National Provider Directory
National Provider DirectoryLocations
221 Virginia Ave
Marlin, TX 76661
Phone (254) 883-5548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1278460800000",
"number": "1588748065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 VIRGINIA AVE",
"city": "MARLIN",
"state": "TX",
"postal_code": "766612160",
"telephone_number": "254-883-5548",
"fax_number": "254-803-2407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 VIRGINIA AVE",
"city": "MARLIN",
"state": "TX",
"postal_code": "766612160",
"telephone_number": "254-883-5548",
"fax_number": "254-803-2407"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NURSE-CON CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-24",
"last_updated": "2010-07-07",
"status": "A",
"authorized_official_last_name": "HANCOCK",
"authorized_official_first_name": "DEBRA",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "VICE PRESIDENT / BOARD OF DIRECTORS",
"authorized_official_telephone_number": "214-348-0134",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "TX",
"license": "115348",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000475201",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Elmwood Nursing Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Marlin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.