Active NPI
Electra Health Care Center
- Skilled Nursing Facility
- Electra, TX
National Provider Identifier
1891783429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 110882
- Legal business name
- ELECTRA HEALTH CARE CENTER
- Practice address
- 511 S Bailey St
Electra, TX 76360-2828 - Phone
- (940) 495-2184
- Fax
- (940) 495-3171
- NPI assigned
- Oct 7, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Sandra J Givens
- Title
- Administrator
- Phone
- (940) 495-2184
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 110882 | TX | Primary |
Addresses
Primary practice location
511 S Bailey St
Electra, TX 76360-2828
Mailing address
511 S Bailey St
P.O. Box 1226
Electra, TX 76360-2828
Phone (940) 495-2184
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004026 | Medicaid | TX |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128643200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1891783429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 S BAILEY ST",
"address_2": "P.O. BOX 1226",
"city": "ELECTRA",
"state": "TX",
"postal_code": "763602828",
"telephone_number": "940-495-2184",
"fax_number": "940-495-3171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 S BAILEY ST",
"city": "ELECTRA",
"state": "TX",
"postal_code": "763602828",
"telephone_number": "940-495-2184",
"fax_number": "940-495-3171"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELECTRA HEALTH CARE CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-07",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GIVENS",
"authorized_official_first_name": "SANDRA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "940-495-2184",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "TX",
"license": "110882",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004026",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Electra, 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.