Organization Active NPI

Fortress Nursing and Rehabilitation, LP

  • Skilled Nursing Facility
  • College Station, TX
National Provider Identifier
1811317167
Registry record updated Feb 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
140315 Issued in TX
Legal business name
FORTRESS NURSING AND REHABILITATION, LP
Practice address
1105 Rock Prairie Road
College Station, TX 77845-8344
Phone
(979) 694-2200
Fax
(979) 696-6206
NPI assigned
Apr 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2019

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

Authorized official

Name
Mr. Dan D Flagg
Title
Ceo
Phone
(940) 387-4388

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 140315 TX Primary

Addresses

Primary practice location

1105 Rock Prairie Road
College Station, TX 77845-8344

Mailing address

419 S Elm St
Denton, TX 76201-6085
Phone (940) 387-4388

Other identifiers 1

IdentifierTypeStateIssuer
001025913MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1398297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550188800000",
    "number": "1811317167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 S ELM ST",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762016085",
            "telephone_number": "940-387-4388",
            "fax_number": "940-380-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 ROCK PRAIRIE ROAD",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778458344",
            "telephone_number": "979-694-2200",
            "fax_number": "979-696-6206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORTRESS NURSING AND REHABILITATION, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-24",
        "last_updated": "2019-02-15",
        "status": "A",
        "authorized_official_last_name": "FLAGG",
        "authorized_official_first_name": "DAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "940-387-4388",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "140315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001025913",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in College Station, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2019; 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.