Organization Active NPI

Gruenepointe 1 Longview, LLC

  • Skilled Nursing Facility
  • Longview, TX
National Provider Identifier
1659756047
Registry record updated Sep 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
APPLIED FOR Issued in TX
Legal business name
GRUENEPOINTE 1 LONGVIEW, LLC
Doing business as
Whispering Pines Lodge
Practice address
2131 Alpine Rd
Longview, TX 75601-3402
Phone
(903) 757-8786
NPI assigned
Jul 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2016

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

Authorized official

Name
Mr. Kurt Dullnig
Title
Vice President
Phone
(210) 757-4987

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X APPLIED FOR TX Primary

Addresses

Primary practice location

2131 Alpine Rd
Longview, TX 75601-3402

Mailing address

8502 Huebner Rd Ste 400
San Antonio, TX 78240-2466
Phone (210) 757-4987

Other identifiers 2

IdentifierTypeStateIssuer
001027072MedicaidTX
145514OtherTXSTATE LICENSE

Other names 1

  • Whispering Pines Lodge Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1659756047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8502 HUEBNER RD STE 400",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782402466",
            "telephone_number": "210-757-4987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2131 ALPINE RD",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756013402",
            "telephone_number": "903-757-8786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRUENEPOINTE 1 LONGVIEW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-27",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "DULLNIG",
        "authorized_official_first_name": "KURT",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "210-757-4987",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "APPLIED FOR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001027072",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "145514",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Whispering Pines Lodge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Longview, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.