Organization Active NPI

Cascade Nacogdoches Health Services, LTD

  • Skilled Nursing Facility
  • Nacogdoches, TX
National Provider Identifier
1760484968
Registry record updated Feb 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
110594 Issued in TX
Legal business name
CASCADE NACOGDOCHES HEALTH SERVICES, LTD
Practice address
227 Russell Blvd
Nacogdoches, TX 75965-1238
Phone
(936) 564-4596
Fax
(936) 564-6824
NPI assigned
Jun 1, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2008

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

Authorized official

Name
Mr. Ronald M. Haney
Title
General Partner
Phone
(936) 634-6633

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 110594 TX Primary

Addresses

Primary practice location

227 Russell Blvd
Nacogdoches, TX 75965-1238

Mailing address

227 Russell Blvd
Nacogdoches, TX 75965-1238
Phone (936) 564-4596

Other names 1

  • Willowbrook Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1760484968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 RUSSELL BLVD",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651238",
            "telephone_number": "936-564-4596",
            "fax_number": "936-564-6824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 RUSSELL BLVD",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651238",
            "telephone_number": "936-564-4596",
            "fax_number": "936-564-6824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE NACOGDOCHES HEALTH SERVICES, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-01",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "HANEY",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "936-634-6633",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "110594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willowbrook",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Nacogdoches, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.