NPIMap

Organization Active NPI

Goodall-Witcher Hospital Authority

Doing business as Sunset Home

  • Skilled Nursing Facility
  • Clifton, TX
National Provider Identifier
1740611805
Registry record updated Feb 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
GOODALL-WITCHER HOSPITAL AUTHORITY
Doing business as
Sunset Home
Practice address
1800 W 9TH St
Clifton, TX 76634-1880
Phone
(254) 675-8637
Fax
(254) 675-3248
NPI assigned
Nov 27, 2013
Last updated
Feb 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2014

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

Authorized official

Name
Mr. Adam B Willmann
Title
President/Ceo
Phone
(254) 675-7995

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

1800 W 9TH St
Clifton, TX 76634-1880

Mailing address

1800 W 9TH St
Clifton, TX 76634-1880
Phone (254) 675-8637

Other identifiers 2

IdentifierTypeStateIssuer
001025615MedicaidTX
004059OtherTXMEDICAID VENDOR ID

Other names 1

  • Sunset Home Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bosque County Hospital District7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1385510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392681600000",
    "number": "1740611805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 W 9TH ST",
            "city": "CLIFTON",
            "state": "TX",
            "postal_code": "766341880",
            "telephone_number": "254-675-8637",
            "fax_number": "254-675-3248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 W 9TH ST",
            "city": "CLIFTON",
            "state": "TX",
            "postal_code": "766341880",
            "telephone_number": "254-675-8637",
            "fax_number": "254-675-3248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODALL-WITCHER HOSPITAL AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-27",
        "last_updated": "2014-02-18",
        "status": "A",
        "authorized_official_last_name": "WILLMANN",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "254-675-7995",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001025615",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID VENDOR ID",
            "identifier": "004059",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunset Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clifton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; 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.