Franklin Healthcare of Madisonville, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

FRANKLIN HEALTHCARE OF MADISONVILLE, LLC

Doing business as

Riverwood Healthcare & Rehab

Practice address

600 Bacon St
Madisonville, TX 77864-2575

Phone

(936) 348-9097

Fax

(936) 348-9212

NPI assigned

Nov 5, 2015

Last updated

Nov 5, 2015By 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

Doug Mittleider

Title

President of Managing Member

Phone

(470) 282-3268

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Riverwood Healthcare & Rehab Doing business as

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

{
    "created_epoch": "1446681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446681600000",
    "number": "1629441167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 ROYAL BLVD S",
            "address_2": "STE. 190",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300224427",
            "telephone_number": "470-282-3268",
            "fax_number": "470-268-7957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 BACON ST",
            "city": "MADISONVILLE",
            "state": "TX",
            "postal_code": "778642575",
            "telephone_number": "936-348-9097",
            "fax_number": "936-348-9212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANKLIN HEALTHCARE OF MADISONVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-05",
        "last_updated": "2015-11-05",
        "status": "A",
        "authorized_official_last_name": "MITTLEIDER",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "PRESIDENT OF MANAGING MEMBER",
        "authorized_official_telephone_number": "470-282-3268"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5342",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverwood Healthcare & Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tena Measles Crook, LMT
• John Edward Deal, RPH
• Darren Glenn Dye
• Charlotte Gaye Ellis, APRN-BC
• Mallison Fisher, MS,CCC-SLP
• Joe W Franklin, M.D.
• Theresa Fusaro, LPC
• Kelle Dawn Harper, NP
• HCC-Healthcare Properties, LLC (Riverwood Healthcare & Rehabilitation)
• Cynthia Raye Horne, RN

• Skilled Nursing Facility in Madisonville, TX
• Providers in Madisonville, 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 Nov 5, 2015; 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.