LTC Information Systems, Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

LTC INFORMATION SYSTEMS, INC

Practice address

616 E Truett St
Winters, TX 79567-4527

Phone

(325) 754-5083

Fax

(325) 754-4570

NPI assigned

May 9, 2008

Organization subpart

No

Name

Mrs. Bobbie M Nichols

Title

V. President

Phone

(254) 445-2517

• WINTERS ASSISTED LIVING Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 3, 2008.

{
    "created_epoch": "1210291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225670400000",
    "number": "1750558607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 E LIVE OAK ST",
            "city": "DUBLIN",
            "state": "TX",
            "postal_code": "764461914",
            "telephone_number": "254-445-2517",
            "fax_number": "254-445-3960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 E TRUETT ST",
            "city": "WINTERS",
            "state": "TX",
            "postal_code": "795674527",
            "telephone_number": "325-754-5083",
            "fax_number": "325-754-4570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LTC INFORMATION SYSTEMS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-09",
        "last_updated": "2008-11-03",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "BOBBIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "V. PRESIDENT",
        "authorized_official_telephone_number": "254-445-2517",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001016273",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001016272",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WINTERS ASSISTED LIVING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Walter Von Clendenen, DDS
• Benjamin Luke England, APRN, FNP-C
• Fred Garcia Jr., P.T.
• Tamara Deniece Killough, FNP
• Knichols & Bnichols Healthcare Inc.
• Mal Enterprises, Inc. Dba Lawrence Bros. Pharm. # 1401
• Mark Steven McKinnon, MD
• North Runnels County Hospital
• North Runnels County Hospital
• North Runnels County Hospital

• All providers in Winters, TX
• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.