Navarro Convalescent, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

111240 Issued in TX

Legal business name

NAVARRO CONVALESCENT, INC.

Doing business as

Heritage Oaks Retirement Village

Practice address

3002 W 2ND Ave
Corsicana, TX 75110-2408

Phone

(903) 872-5130

NPI assigned

Dec 5, 2005

Organization subpart

No

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

Authorized official

Name

Mr. James W Moore Sr.

Title

Owner

Phone

(409) 962-0910

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Heritage Oaks Retirement Village Doing business as

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275004800000",
    "number": "1609850494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3002 W 2ND AVE",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751102408",
            "telephone_number": "903-872-5130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3002 W 2ND AVE",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751102408",
            "telephone_number": "903-872-5130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAVARRO CONVALESCENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-05",
        "last_updated": "2010-05-28",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-962-0910",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "111240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005357",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Oaks Retirement Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Meridith Musgrove, OD
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• Mystic Rose Home Health Care LLC
• N-of-1 Personalized Nutrition, LLC
• National Radiology Group-DFW P a
• Navarro County Ambulatory Care Association (Dr Kent E. Rogers Clinic)
• Navarro County Kidney Associates PA
• Navarro Emergency Physicians PLLC
• Navarro Hospital LP (Navarro Regional Hospital)
• Navarro Hospital LP (Navarro Pediatrics)

• Skilled Nursing Facility in Corsicana, TX
• Providers in Corsicana, 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 May 28, 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.