Strategic Care of Stephenville, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

122400 Issued in TX

Legal business name

STRATEGIC CARE OF STEPHENVILLE, LLC

Doing business as

Castleview Nursing and Rehab of Stepehnville

Practice address

2309 W Washington Street
Stephenville, TX 76401-3805

Phone

(254) 968-4191

Fax

(254) 968-0862

NPI assigned

Oct 2, 2007

Organization subpart

Yes

Parent organization

STRATEGIC MANAGEMENT GROUP LLCAs reported in NPPES

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

Authorized official

Name

Kayla Slater, RN, CWOCN

Title

President

Phone

(817) 808-7012

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Castleview Nursing and Rehab of Stepehnville Doing business as

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233014400000",
    "number": "1871780924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2309 W WASHINGTON STREET",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764013805",
            "telephone_number": "254-968-4191",
            "fax_number": "254-968-0862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2309 W WASHINGTON STREET",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764013805",
            "telephone_number": "254-968-4191",
            "fax_number": "254-968-0862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRATEGIC CARE OF STEPHENVILLE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STRATEGIC MANAGEMENT GROUP LLC",
        "enumeration_date": "2007-10-02",
        "last_updated": "2009-01-27",
        "status": "A",
        "authorized_official_last_name": "SLATER",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-808-7012",
        "authorized_official_credential": "RN, CWOCN"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "005085",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "122400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005085",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Castleview Nursing and Rehab of Stepehnville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Stephanie Stevenson, LPC
• Brianna Joy Stone, LMP
• Cody Storrs
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• Aaron Chase Sugg, PTA
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• Tanglewood Pharmacy Inc (Tanglewood Pharmacy)

• Skilled Nursing Facility in Stephenville, TX
• Providers in Stephenville, 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 Jan 27, 2009; 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.