Wichita Falls Retirement Foundation

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

109476 Issued in TX

Legal business name

WICHITA FALLS RETIREMENT FOUNDATION

Practice address

3006 McNiel Ave
Wichita Falls, TX 76309-4954

Phone

(940) 691-7511

Fax

(940) 696-5154

NPI assigned

Nov 2, 2005

Organization subpart

No

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

Authorized official

Name

Marsha Conyea

Title

Administrator/Executive Director

Phone

(940) 691-7511

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235692800000",
    "number": "1669463345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3006 MCNIEL AVE",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763094954",
            "telephone_number": "940-691-7511",
            "fax_number": "940-696-5154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3006 MCNIEL AVE",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763094954",
            "telephone_number": "940-691-7511",
            "fax_number": "940-696-5154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WICHITA FALLS RETIREMENT FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-02",
        "last_updated": "2009-02-27",
        "status": "A",
        "authorized_official_last_name": "CONYEA",
        "authorized_official_first_name": "MARSHA",
        "authorized_official_title_or_position": "ADMINISTRATOR/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "940-691-7511"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TX",
            "license": "109476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001016429",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Wichita Falls Texas Private Duty Corporation (CarePartners)
• Wichita Heart and Vascular Center, PLLC

• Nursing Facility/Intermediate Care Facility in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Nursing Facility/Intermediate Care Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2009; 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.