Ennis Nursing and Rehab Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

ENNIS NURSING AND REHAB CENTER LLC

Practice address

1200 S Hall St
Ennis, TX 75119-6318

Phone

(801) 601-1450

NPI assigned

Dec 2, 2021

Last updated

Oct 23, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

EDURO HEALTHCARE LLCAs reported in NPPES

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

Authorized official

Name

Dustin Monroe

Title

General Counsel

Phone

(385) 240-6408

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1638403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729641600000",
    "number": "1669130159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1376 E 3300 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841063069",
            "telephone_number": "801-601-1450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S HALL ST",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751196318",
            "telephone_number": "801-601-1450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENNIS NURSING AND REHAB CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EDURO HEALTHCARE LLC",
        "enumeration_date": "2021-12-02",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A",
        "authorized_official_last_name": "MONROE",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_title_or_position": "GENERAL COUNSEL",
        "authorized_official_telephone_number": "385-240-6408"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ennis Healthcare Systems Inc
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• Ennis Isd
• Ennis Midwifery LLC
• Ennis Orthopedics PA
• Ennis Pediatric and Adolescent Health Care Center, P.a.
• Ennis Physical Medicine, PLLC
• Ennis Smiles PLLC
• Ennis Specialty Pharmacy, Inc

• Skilled Nursing Facility in Ennis, TX
• Providers in Ennis, 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 Oct 23, 2024; 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.