Active NPI
L-M-R Health Care Services Inc
- Intellectual Disabilities Intermediate Care Facility
- Gladewater, TX
National Provider Identifier
1720033517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual Disabilities Intermediate Care Facility
- License
- 0000757201
- Legal business name
- L-M-R HEALTH CARE SERVICES INC
- Practice address
- 502 Tenery St
Gladewater, TX 75647 - Phone
- (903) 295-7391
- Fax
- (903) 295-7394
- NPI assigned
- May 23, 2006
- Last updated
- Jun 17, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Howard Wayne Pecot
- Title
- President
- Phone
- (903) 295-7391
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | 0000757201 | TX | Primary |
Addresses
Primary practice location
502 Tenery St
Gladewater, TX 75647
Mailing address
112 S Ward Dr
Longview, TX 75604
Phone (903) 295-7391
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000757201 | Other | TX | STATE COMPTROLLER |
National Provider Directory
National Provider Directory- Tax ID family
- L-M-R Health Care Services Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual Disabilities Intermediate Care Facility
- Longview, TX
- NPI 1568481638
Locations
502 Tenery St
Gladewater, TX 75647
Phone (903) 295-7391
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213660800000",
"number": "1720033517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 S WARD DR",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "75604",
"telephone_number": "903-295-7391",
"fax_number": "903-295-7395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 TENERY ST",
"city": "GLADEWATER",
"state": "TX",
"postal_code": "75647",
"telephone_number": "903-295-7391",
"fax_number": "903-295-7394"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "L-M-R HEALTH CARE SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-23",
"last_updated": "2008-06-17",
"status": "A",
"authorized_official_last_name": "PECOT",
"authorized_official_first_name": "HOWARD",
"authorized_official_middle_name": "WAYNE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "903-295-7391",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "315P00000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Intellectual Disabilities",
"state": "TX",
"license": "0000757201",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE COMPTROLLER",
"identifier": "0000757201",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gladewater, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.