NPIMap

Organization Active NPI

Palestine Healthcare Center

  • Skilled Nursing Facility
  • Palestine, TX
National Provider Identifier
1821086687
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
104003 Issued in TX
Legal business name
PALESTINE HEALTHCARE CENTER
Practice address
1816 Tile Factory Rd
Palestine, TX 75803-8472
Phone
(903) 729-2261
NPI assigned
Oct 6, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Gary W. Parker
Title
Administrator
Phone
(903) 729-2261

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 104003 TX Primary

Addresses

Primary practice location

1816 Tile Factory Rd
Palestine, TX 75803-8472

Mailing address

1816 Tile Factory Rd
Palestine, TX 75803-8472
Phone (903) 729-2261

Other identifiers 1

IdentifierTypeStateIssuer
104003OtherTXLICENSE

National Provider Directory

National Provider Directory
Tax ID family
Hill Country Healthcare28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

Organizations that report the same tax identification number in the National Provider Directory.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821086687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1816 TILE FACTORY RD",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758038472",
            "telephone_number": "903-729-2261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1816 TILE FACTORY RD",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758038472",
            "telephone_number": "903-729-2261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALESTINE HEALTHCARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "903-729-2261",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "104003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "104003",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palestine, TX

Sources for this page

  • 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.