Dekalb Health Care LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

DEKALB HEALTH CARE LLC

Doing business as

SUNNY ACRES NURSING & REHAB

Practice address

12520 FM 1840
De Kalb, TX 75559-1929

Phone

(903) 667-2572

Fax

(903) 667-5589

NPI assigned

Jan 3, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Sharon Kay Redd

Title

Reimbursement Specialists

Phone

(903) 881-9432

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• SUNNY ACRES NURSING & REHAB Doing business as

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328572800000",
    "number": "1750448015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12520 FM 1840",
            "city": "DE KALB",
            "state": "TX",
            "postal_code": "755591929",
            "telephone_number": "903-667-2572",
            "fax_number": "903-667-5589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12520 FM 1840",
            "city": "DE KALB",
            "state": "TX",
            "postal_code": "755591929",
            "telephone_number": "903-667-2572",
            "fax_number": "903-667-5589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEKALB HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2012-02-07",
        "status": "A",
        "authorized_official_last_name": "REDD",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "REIMBURSEMENT SPECIALISTS",
        "authorized_official_telephone_number": "903-881-9432",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001003424",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4553",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUNNY ACRES NURSING & REHAB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cayla Brown
• Allison Butler
• Rhonda Gail Cameron
• John Franklin Cary, RPH
• De Kalb Independent School District
• Dekalb Health Care LLC
• Dekalb Pharmacy LLC
• Dekalb Physicians Clinic LLC
• Chandelle Doreen Fetner
• Kyle Groom, D.O.

• Skilled Nursing Facility in De Kalb, TX
• Providers in De Kalb, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2012; 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.