NPIMap

Organization Active NPI

Long Term Care of Texas, Inc.

  • Skilled Nursing Facility
  • Lewisville, TX
National Provider Identifier
1922088970
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
113275 Issued in TX
Legal business name
LONG TERM CARE OF TEXAS, INC.
Practice address
169 Lake Park Rd
Lewisville, TX 75057-2303
Phone
(972) 436-7571
Fax
(972) 221-4187
NPI assigned
Jan 17, 2006
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
Michelle Roberts, RN
Title
Corporate Officer
Phone
(972) 436-7571

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 113275 TX Primary

Addresses

Primary practice location

169 Lake Park Rd
Lewisville, TX 75057-2303

Mailing address

169 Lake Park Rd
Lewisville, TX 75057-2303
Phone (972) 436-7571

Other names 1

  • LAKE VILLAGE NURSING & REHAB Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922088970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 LAKE PARK RD",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750572303",
            "telephone_number": "972-436-7571",
            "fax_number": "972-221-4187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 LAKE PARK RD",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750572303",
            "telephone_number": "972-436-7571",
            "fax_number": "972-221-4187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG TERM CARE OF TEXAS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "CORPORATE OFFICER",
        "authorized_official_telephone_number": "972-436-7571",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "113275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAKE VILLAGE NURSING & REHAB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lewisville, 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.