Covenant Care Center of Quanah, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

118688 Issued in TX

Legal business name

COVENANT CARE CENTER OF QUANAH, LLC

Doing business as

Quanah Nursing Center

Practice address

1106 W 14TH St
Quanah, TX 79252-6300

Phone

(940) 663-2869

Fax

(940) 663-6429

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Ronald Sanborn

Title

Owner

Phone

(832) 717-5519

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Quanah Nursing Center Doing business as

Locations

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1780761478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 W 14TH ST",
            "city": "QUANAH",
            "state": "TX",
            "postal_code": "792526300",
            "telephone_number": "940-663-2869",
            "fax_number": "940-663-6429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 W 14TH ST",
            "city": "QUANAH",
            "state": "TX",
            "postal_code": "792526300",
            "telephone_number": "940-663-2869",
            "fax_number": "940-663-6429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT CARE CENTER OF QUANAH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "SANBORN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-717-5519",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "118688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001013333",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quanah Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Loria Drobyn Alaniz
• John Robert Baucum, DDS
• Stacie Magdelena Blodgett
• Danica Erin Call, PT, MPT, CLT
• County of Hardeman (Hardeman County EMS)
• Eden Davis, BCBA, LPC
• Eric Robert Estrada, M.D
• Fara Faythe Garza, MSN, RN, FNP-C
• Vickie Hammack, RN
• Hardeman County Lifeline

• Skilled Nursing Facility in Quanah, TX
• Providers in Quanah, 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 Jul 1, 2008; 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.