LS Quitman Operator LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

LS QUITMAN OPERATOR LLC

Doing business as

Heritage House Healthcare Centre

Practice address

1026 E Goode St
Quitman, TX 75783-1641

Phone

(903) 763-2284

NPI assigned

Feb 6, 2019

Last updated

Oct 9, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark Lazar

Title

Authorized Representative

Phone

(323) 651-1808

Specialties & licenses 1

Addresses

Other names 1

• Heritage House Healthcare Centre Doing business as

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

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602201600000",
    "number": "1780149401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 E GOODE ST",
            "city": "QUITMAN",
            "state": "TX",
            "postal_code": "757831641",
            "telephone_number": "903-763-2284",
            "fax_number": "903-763-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 E GOODE ST",
            "city": "QUITMAN",
            "state": "TX",
            "postal_code": "757831641",
            "telephone_number": "903-763-2284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LS QUITMAN OPERATOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-06",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A",
        "authorized_official_last_name": "LAZAR",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "323-651-1808"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage House Healthcare Centre",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Richard Edward Liske
• Martinez Medical Clinic
• James Ebbert Marvel, MD
• Sarah McCutcheon, APRN, FNP-C
• Valerie Esther McWhorter, PMHNP-BC
• Mineola Isd

• Skilled Nursing Facility in Quitman, TX
• Providers in Quitman, 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 Oct 9, 2020; 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.