Rebecca Ann Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

116118 Issued in TX

Legal business name

REBECCA ANN INC

Practice address

204 Oak Dr S
Lake Jackson, TX 77566-5628

Phone

(979) 297-0425

Fax

(979) 297-9076

NPI assigned

Mar 22, 2006

Organization subpart

No

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

Authorized official

Name

Paul Heinig

Title

President

Phone

(979) 297-0425

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Plantation Health Care Center Doing business as

Locations

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287619200000",
    "number": "1801855341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 OAK DR S",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665628",
            "telephone_number": "979-297-0425",
            "fax_number": "979-297-9076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 OAK DR S",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665628",
            "telephone_number": "979-297-0425",
            "fax_number": "979-297-9076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA ANN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-22",
        "last_updated": "2010-10-21",
        "status": "A",
        "authorized_official_last_name": "HEINIG",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "979-297-0425"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "116118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000536901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Plantation Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Lake Jackson, TX
• Providers in Lake Jackson, 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 Oct 21, 2010; 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.