Organization Active NPI

Rush and Mike Wheeler Inc

  • Nursing Facility/Intermediate Care Facility
  • Lubbock, TX
National Provider Identifier
1629153978
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
115604 Issued in TX
Legal business name
RUSH AND MIKE WHEELER INC
Doing business as
golden age nursing home
Practice address
2613 34TH St
Lubbock, TX 79410-3519
Phone
(806) 792-2196
Fax
(806) 792-7740
NPI assigned
Oct 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Rush Mike Wheeler, OWNER
Title
Adm/Owner
Phone
(806) 792-2196

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 115604 TX Primary

Addresses

Primary practice location

2613 34TH St
Lubbock, TX 79410-3519

Mailing address

2613 34TH St
Lubbock, TX 79410-3519
Phone (806) 792-2196

Other names 1

  • golden age nursing home Doing business as

National Provider Directory

National Provider Directory

Locations

2613 34th St
Lubbock, TX 79410
Phone (806) 792-2196

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1629153978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2613 34TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794103519",
            "telephone_number": "806-792-2196",
            "fax_number": "806-792-7740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2613 34TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794103519",
            "telephone_number": "806-792-2196",
            "fax_number": "806-792-7740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSH AND MIKE WHEELER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "RUSH",
        "authorized_official_middle_name": "MIKE",
        "authorized_official_title_or_position": "ADM/OWNER",
        "authorized_official_telephone_number": "806-792-2196",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TX",
            "license": "115604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "golden age nursing home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.