Organization Active NPI

Carrizo Springs Nursing and Rehabilitation LP

  • Skilled Nursing Facility
  • Carrizo Springs, TX
National Provider Identifier
1649267147
Registry record updated Jan 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CARRIZO SPRINGS NURSING AND REHABILITATION LP
Practice address
506 S 7TH St
Carrizo Springs, TX 78834-3815
Phone
(830) 876-5011
Fax
(830) 876-9414
NPI assigned
Sep 30, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2019

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

Authorized official

Name
Mr. Dan D. Flagg
Title
Ceo
Phone
(940) 387-4388

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

506 S 7TH St
Carrizo Springs, TX 78834-3815

Mailing address

419 S Elm St
Denton, TX 76201-6085
Phone (940) 387-4388

Other identifiers 2

IdentifierTypeStateIssuer
001004350MedicaidTX
155172301OtherTXTMHP (CROSS-OVER)

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548806400000",
    "number": "1649267147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 S ELM ST",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762016085",
            "telephone_number": "940-387-4388",
            "fax_number": "940-380-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 S 7TH ST",
            "city": "CARRIZO SPRINGS",
            "state": "TX",
            "postal_code": "788343815",
            "telephone_number": "830-876-5011",
            "fax_number": "830-876-9414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARRIZO SPRINGS NURSING AND REHABILITATION LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-30",
        "last_updated": "2019-01-30",
        "status": "A",
        "authorized_official_last_name": "FLAGG",
        "authorized_official_first_name": "DAN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "940-387-4388",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001004350",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TMHP (CROSS-OVER)",
            "identifier": "155172301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrizo Springs, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; 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.