Copperas Hollow, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

COPPERAS HOLLOW, LLC

Practice address

345 Country Club Dr
Caldwell, TX 77836-2328

Phone

(979) 567-4300

NPI assigned

Nov 6, 2012

Last updated

Jul 31, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Yosef Meystel

Title

Manager

Phone

(847) 673-6767

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1352160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375228800000",
    "number": "1871847251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8131 MONTICELLO AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600763325",
            "telephone_number": "847-673-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 COUNTRY CLUB DR",
            "city": "CALDWELL",
            "state": "TX",
            "postal_code": "778362328",
            "telephone_number": "979-567-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPPERAS HOLLOW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-06",
        "last_updated": "2013-07-31",
        "status": "A",
        "authorized_official_last_name": "MEYSTEL",
        "authorized_official_first_name": "YOSEF",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "847-673-6767"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caldwell Nursing and Rehab Center (Copperas Hollow Nursing and Rehab Center)
• Karla Gail Chaloupka, RRT
• John Scott Chennault, D.O.
• Courtney Jane Chmelar
• Copperas Al Operator LLC (Copperas Hollow Nursing & Rehabilitation Center)
• Coryell County Memorial Hospital Authority (Copperas Hollow Nursing and Rehabilitation Center)
• Del B. Stigler M.D.
• Amanda S Dominy, COTA
• Dylan Drgac, DDS
• L.Layne Drgac, D.D.S.

• Skilled Nursing Facility in Caldwell, TX
• Providers in Caldwell, 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 Jul 31, 2013; 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.