Groveton Texas Hospital Authority

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

117377 Issued in TX

Legal business name

GROVETON TEXAS HOSPITAL AUTHORITY

Doing business as

Goveton Nursing Home

Practice address

Box 890 Hwy 287 N
Groveton, TX 75845-0890

Phone

(936) 642-1221

Fax

(936) 642-2727

NPI assigned

Feb 26, 2007

Organization subpart

No

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

Authorized official

Name

Jennifer Lynn Cleveland, BOM

Title

Business Office Manager

Phone

(936) 642-1221

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Goveton Nursing Home Doing business as

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231286400000",
    "number": "1780710681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 890",
            "city": "GROVETON",
            "state": "TX",
            "postal_code": "758450890",
            "telephone_number": "936-642-1221",
            "fax_number": "936-642-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BOX 890 HWY 287 N",
            "city": "GROVETON",
            "state": "TX",
            "postal_code": "758450890",
            "telephone_number": "936-642-1221",
            "fax_number": "936-642-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROVETON TEXAS HOSPITAL AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2009-01-07",
        "status": "A",
        "authorized_official_last_name": "CLEVELAND",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "936-642-1221",
        "authorized_official_credential": "BOM"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TX",
            "license": "117377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY ID #",
            "identifier": "004778",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goveton Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Groveton Emergency Medical Service Inc
• Groveton I Enterprises LLC (Groveton Nursing Home)
• Groveton I Enterprises, LLC (Groveton Assisted Living)
• Groveton Independent School District
• Groveton Texas Hospital Authority
• Ruth Nicole Johnson, RN
• Keith Edward Jones, PA-C
• Lone Star Expeditions, Inc.
• Francis Dawn McElreath, CPHT
• Melanie L Parker, FNP

• Nursing Facility/Intermediate Care Facility in Groveton, TX
• Providers in Groveton, TX by specialty
• Nursing Facility/Intermediate Care Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2009; 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.