Giddings TX SNF Management LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

GIDDINGS TX SNF MANAGEMENT LLC

Doing business as

Giddings Residence and Rehabilitation Center

Practice address

1181 N Williamson St
Giddings, TX 78942-1213

Phone

(979) 542-3611

NPI assigned

May 29, 2013

Last updated

Jun 4, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Elie Deitsch

Title

Manager

Phone

(718) 747-8077

Specialties & licenses 1

Addresses

Other names 1

• Giddings Residence and Rehabilitation Center Doing business as

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

{
    "created_epoch": "1369785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370304000000",
    "number": "1629415807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1181 N WILLIAMSON ST",
            "city": "GIDDINGS",
            "state": "TX",
            "postal_code": "789421213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1181 N WILLIAMSON ST",
            "city": "GIDDINGS",
            "state": "TX",
            "postal_code": "789421213",
            "telephone_number": "979-542-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIDDINGS TX SNF MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-29",
        "last_updated": "2013-06-04",
        "status": "A",
        "authorized_official_last_name": "DEITSCH",
        "authorized_official_first_name": "ELIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "718-747-8077",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Giddings Residence and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Giddings, TX
• Providers in Giddings, 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 Jun 4, 2013; 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.