Organization Active NPI

HMS Holdings at Texarkana LLC

Doing business as Christian Care Center

  • Skilled Nursing Facility
  • Texarkana, TX
National Provider Identifier
1780629279
Registry record updated Jun 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
105840 Issued in TX
Legal business name
HMS HOLDINGS AT TEXARKANA LLC
Doing business as
Christian Care Center
Practice address
1008 Citizens Trail
Texarkana, TX 75501-5884
Phone
(903) 838-9526
Fax
(903) 831-7697
NPI assigned
Jun 18, 2006
Last updated
Jun 20, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
HEALTHLINK HOLDINGS GROUP LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 20, 2014

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

Authorized official

Name
Mr. Jake Hallsted
Title
President
Phone
(832) 448-3700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 105840 TX Primary

Addresses

Primary practice location

1008 Citizens Trail
Texarkana, TX 75501-5884

Mailing address

1008 Citizens Trail
Texarkana, TX 75501-5884
Phone (903) 838-9526

Other identifiers 1

IdentifierTypeStateIssuer
001004288MedicaidTX

Other names 1

  • Christian Care Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403222400000",
    "number": "1780629279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 CITIZENS TRAIL",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755015884",
            "telephone_number": "903-838-9526",
            "fax_number": "903-831-7697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 CITIZENS TRAIL",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755015884",
            "telephone_number": "903-838-9526",
            "fax_number": "903-831-7697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HMS HOLDINGS AT TEXARKANA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTHLINK HOLDINGS GROUP LLC",
        "enumeration_date": "2006-06-18",
        "last_updated": "2014-06-20",
        "status": "A",
        "authorized_official_last_name": "HALLSTED",
        "authorized_official_first_name": "JAKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-448-3700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "105840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001004288",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Christian Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Texarkana, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2014; 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.