Active NPI
HMS Holdings at Texarkana LLC
Doing business as Christian Care Center
- Skilled Nursing Facility
- Texarkana, TX
National Provider Identifier
1780629279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 105840
- 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, 2014
- Organization subpart
- Yes
- Parent organization
- HEALTHLINK HOLDINGS GROUP LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001004288 | Medicaid | TX |
Other names 1
- Christian Care Center
National Provider Directory
National Provider DirectoryNPI 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.