Deerings Nursing and Rehabilitation LP

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

DEERINGS NURSING AND REHABILITATION LP

Practice address

1020 N County Rd W
Odessa, TX 79763-3436

Phone

(432) 332-0371

Fax

(432) 332-0075

NPI assigned

Sep 30, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Dan D. Flagg

Title

Ceo

Phone

(940) 387-4388

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548806400000",
    "number": "1922095413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 S ELM ST",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762016085",
            "telephone_number": "940-387-4388",
            "fax_number": "940-380-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 N COUNTY RD W",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797633436",
            "telephone_number": "432-332-0371",
            "fax_number": "432-332-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEERINGS NURSING AND REHABILITATION LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-30",
        "last_updated": "2019-01-30",
        "status": "A",
        "authorized_official_last_name": "FLAGG",
        "authorized_official_first_name": "DAN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "940-387-4388",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001004122",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TMHP(CROSS OVER)",
            "identifier": "094534701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cornelia Selma De Riese, MD, PHD, MBA
• Amaeraly Deacon
• Dylan Dean, MD
• Tara Yvette Deaver, DPM
• Dana D Debose
• Defrance, Inc.
• Ronald Joseph Defrance, DC
• Jose Francisco Del Moral, M.D
• Zucel Del Toro Gonzalez
• Angelica Maria Delacruz

• Skilled Nursing Facility in Odessa, TX
• Providers in Odessa, 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 30, 2019; 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.