Century-Lynnhaven-Geac,LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

113020 Issued in TX

Legal business name

CENTURY-LYNNHAVEN-GEAC,LLC

Practice address

3030 Fig St
Corpus Christi, TX 78404-3834

Phone

(361) 882-1948

Fax

(361) 888-8530

NPI assigned

Sep 30, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Diane M Ryan, RN,MS

Title

Owner'S Representative

Phone

(952) 837-0818

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lynnhaven Nursing Center Doing business as

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619964004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 FIG ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784043834",
            "telephone_number": "361-882-1948",
            "fax_number": "361-888-8530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 FIG ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784043834",
            "telephone_number": "361-882-1948",
            "fax_number": "361-888-8530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTURY-LYNNHAVEN-GEAC,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER'S REPRESENTATIVE",
        "authorized_official_telephone_number": "952-837-0818",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN,MS"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "113020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005039",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lynnhaven Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Corpus Christi, TX
• Providers in Corpus Christi, 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.