Granger Villa Inc
Organization Active NPI Skilled Nursing Facility · Granger, TX
NPI 1780765131 · NPPES record last updated Jun 28, 2013
Key facts
- NPI
- 1780765131
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 118542 (TX)
- Legal business name
- GRANGER VILLA INC
- Practice address
- 800 N Commerce
Granger, TX 76530-0398 - Phone
- (512) 859-2800
- Fax
- (512) 859-2905
- NPI assigned
- Oct 18, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Joseph S Bartosh
- Title
- President
- Phone
- (512) 964-7053
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 118542 | TX | Yes |
Addresses
Primary practice location
800 N Commerce
Granger, TX 76530-0398
Mailing address
PO Box 398
Granger, TX 76530-0398
Phone (512) 859-2800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001003004 | Medicaid | TX |
Other providers in Granger, TX
All providers in Granger, TX · Skilled Nursing Facility in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.