Devine Convalescent Care Center Inc

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

112767 Issued in TX

Legal business name

DEVINE CONVALESCENT CARE CENTER INC

Practice address

104 Enterprise Ave
Devine, TX 78016-1807

Phone

(830) 663-4451

NPI assigned

Sep 27, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Janice Pita

Title

Insurance/Medicare

Phone

(580) 622-6300

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Legacy Living Centers Doing business as

Locations

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219881600000",
    "number": "1689660417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 ENTERPRISE AVE",
            "city": "DEVINE",
            "state": "TX",
            "postal_code": "780161807",
            "telephone_number": "830-663-4451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 ENTERPRISE AVE",
            "city": "DEVINE",
            "state": "TX",
            "postal_code": "780161807",
            "telephone_number": "830-663-4451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVINE CONVALESCENT CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-27",
        "last_updated": "2008-08-28",
        "status": "A",
        "authorized_official_last_name": "PITA",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "INSURANCE/MEDICARE",
        "authorized_official_telephone_number": "580-622-6300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TX",
            "license": "112767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAID B",
            "identifier": "1767741-01",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001012206",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD TX",
            "identifier": "HH027S",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy Living Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cruz Personal Care Home, LLC
• Brittny Cummings
• Carlos J De Jesus, RN
• Dental Health Associates of Texas, PC.
• Devine Chiropractic PLLC
• Devine Counseling and Wellness Associates LLC
• Devine Dental & Orthodontics PLLC
• Devine Independent School District
• Diana Scoggins Foster Care
• Donald E Robinson DPM PC

• Nursing Facility/Intermediate Care Facility in Devine, TX
• Providers in Devine, 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 Aug 28, 2008; 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.