Heath Carotex LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

117317 Issued in TX

Legal business name

HEATH CAROTEX LLC

Practice address

903 Riverhaven Dr
Georgetown, TX 78626-4347

Phone

(512) 863-5521

Fax

(512) 869-6271

NPI assigned

Oct 5, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Michael David Heath Sr.

Title

Member

Phone

(512) 863-5521

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• RIVER HAVEN NURSING AND REHABILITATION CENTER Doing business as

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780770867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 RIVERHAVEN DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786264347",
            "telephone_number": "512-863-5521",
            "fax_number": "512-869-6271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 RIVERHAVEN DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786264347",
            "telephone_number": "512-863-5521",
            "fax_number": "512-869-6271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATH CAROTEX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HEATH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "512-863-5521",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "117317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004507",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD PR",
            "identifier": "HH410S",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RIVER HAVEN NURSING AND REHABILITATION CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kenneth Seely Havard, D.D.S.
• Healthpro Heritage Rehab & Fitness, LLC
• Hearing Aid Express, Inc.
• Hearing Holdings
• Christopher Baillie Hearne, M.D.
• Heather Casstevens Moeller, LPC PLLC
• Hadley Heckmann
• Amanda M Hedges, M MSN CPN
• Garrett Hedley
• Shawna Leigh Hein, ATC

• Skilled Nursing Facility in Georgetown, TX
• Providers in Georgetown, 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 Aug 22, 2020; 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.