Organization Active NPI

Desoto LTC Partners, Inc.

  • Skilled Nursing Facility
  • Desoto, TX
National Provider Identifier
1801393665
Registry record updated Apr 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
5116 Issued in TX
Legal business name
DESOTO LTC PARTNERS, INC.
Practice address
1101 N Hampton Rd
Desoto, TX 75115-3951
Phone
(979) 223-3944
Fax
(866) 354-8161
NPI assigned
Apr 9, 2018
Last updated
Apr 9, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2018

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

Authorized official

Name
Louis Frederick Nicholson III
Title
Ceo
Phone
(832) 489-9944

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 5116 TX Primary

Addresses

Primary practice location

1101 N Hampton Rd
Desoto, TX 75115-3951

Mailing address

1101 N Hampton Rd
Desoto, TX 75115-3951
Phone (979) 223-3944

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1523232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523232000000",
    "number": "1801393665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 N HAMPTON RD",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751153951",
            "telephone_number": "979-223-3944",
            "fax_number": "866-354-8161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 N HAMPTON RD",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751153951",
            "telephone_number": "979-223-3944",
            "fax_number": "866-354-8161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESOTO LTC PARTNERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-09",
        "last_updated": "2018-04-09",
        "status": "A",
        "authorized_official_last_name": "NICHOLSON",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "FREDERICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-489-9944",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "5116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Desoto, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2018; 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.