Leonard Manor Inc
Organization Active NPI Nursing Facility/Intermediate Care Facility · Leonard, TX
NPI 1679569370 · NPPES record last updated Aug 28, 2008
Key facts
- NPI
- 1679569370
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nursing Facility/Intermediate Care Facility 313M00000X
- License
- 112350 (TX)
- Legal business name
- LEONARD MANOR INC
- Practice address
- 902 E Hackberry St
Leonard, TX 75452-6318 - Phone
- (903) 587-2282
- Fax
- (903) 587-2594
- NPI assigned
- Sep 27, 2005
- Organization subpart
- No
Authorized official
- Name
- Mrs. Janice Pita
- Title
- Insurance/Medicare
- Phone
- (580) 622-6300
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | 112350 | TX | Yes |
Addresses
Primary practice location
902 E Hackberry St
Leonard, TX 75452-6318
Mailing address
902 E Hackberry St
Leonard, TX 75452-6318
Phone (903) 587-2282
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001012164 | Medicaid | TX | |
| 1893166-01 | Other | TX | TEXAS MEDICAID PART B |
| HH322S | Other | TX | BLUE CROSS BLUE SHIELD TX |
Other names
- Legacy Living Centers
Other providers in Leonard, TX
- Herbert Eugene Kegans
- Robin Denise Kent
- Melvin Alvin Krueger X
- Leonard Family Chiropractic
- Leonard Family Dentistry
- Leonard Manor Nursing and Rehabilitation, LP
- Leonard Nursing Home and Rehabilitation LLC
- Brandi Renee Martin
- Rebecca Miller
- Nathan English Parks
All providers in Leonard, TX · Nursing Facility/Intermediate Care Facility in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.