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Roscoe Healthcare

Organization Active NPI Skilled Nursing Facility · Roscoe, TX

NPI 1861480147 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1861480147
Entity type
Organization (NPI type 2)
Primary specialty
Skilled Nursing Facility 314000000X
License
4087 (TX)
Legal business name
ROSCOE HEALTHCARE
Practice address
201 Cypress St
Roscoe, TX 79545-2877
Phone
(325) 766-3374
Fax
(325) 766-3159
NPI assigned
Oct 11, 2005
Organization subpart
No

Authorized official

Name
Ms. Deborah Durann Gansel, LNFA
Title
Administrator
Phone
(325) 766-3374

Corporate family (same tax ID) 27

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

View all 27

National Provider Directory

Tax ID family
Valley View Healthcare (28 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 4087 TX Yes

Addresses

Primary practice location

201 Cypress St
Roscoe, TX 79545-2877

Mailing address

201 Cypress St
Roscoe, TX 79545-2877
Phone (325) 766-3374

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861480147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 CYPRESS ST",
            "city": "ROSCOE",
            "state": "TX",
            "postal_code": "795452877",
            "telephone_number": "325-766-3374",
            "fax_number": "325-766-3159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 CYPRESS ST",
            "city": "ROSCOE",
            "state": "TX",
            "postal_code": "795452877",
            "telephone_number": "325-766-3374",
            "fax_number": "325-766-3159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSCOE HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GANSEL",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "DURANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "325-766-3374",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LNFA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "4087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roscoe, TX

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Sources for this page

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