Teague LTC Partners, Inc.
Organization Active NPI Skilled Nursing Facility · Teague, TX
NPI 1780002535 · NPPES record last updated Jan 20, 2018
Key facts
- NPI
- 1780002535
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 005013 (TX)
- Legal business name
- TEAGUE LTC PARTNERS, INC.
- Practice address
- 884 US Highway 84 W
Teague, TX 75860-5142 - Phone
- (254) 739-2541
- Fax
- (254) 739-5233
- NPI assigned
- Mar 30, 2014
- Organization subpart
- No
Authorized official
- Name
- Mr. Louis Frederick Nicholson III, LNFA
- Title
- Ceo
- Phone
- (832) 489-9944
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 005013 | TX | Yes |
| Skilled Nursing Facility | 314000000X | 001025830 | TX | |
| Skilled Nursing Facility | 314000000X | 675884 | TX |
Addresses
Primary practice location
884 US Highway 84 W
Teague, TX 75860-5142
Mailing address
8505 Technology Forest PL
Suite 1004
The Woodlands, TX 77381-1000
Phone (281) 414-5744
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001025830 | Medicaid | TX | |
| 5013 | Medicaid | TX |
Other providers in Teague, TX
- Stephen Sease
- South Limestone Hospital District
- Teague Hospital Authority
- Teague I Enterprises, LLC
- Teague Independent School District
- Jacie B White
All providers in Teague, TX · Skilled Nursing Facility in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 20, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.