Deleon Nursing and Rehabilitation LP
Organization Active NPI Skilled Nursing Facility · De Leon, TX
NPI 1932196706 · NPPES record last updated Jan 30, 2019
Key facts
- NPI
- 1932196706
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- DELEON NURSING AND REHABILITATION LP
- Practice address
- 809 E Navarro Ave
De Leon, TX 76444-1275 - Phone
- (254) 893-2075
- Fax
- (254) 893-5595
- NPI assigned
- Oct 5, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. Dan D Flagg
- Title
- Ceo
- Phone
- (940) 387-4388
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D0721933 | Deleon Nursing & Rehabilitation, LP | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
809 E Navarro Ave
De Leon, TX 76444-1275
Mailing address
419 S Elm St
Denton, TX 76201-6085
Phone (940) 387-4388
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001003827 | Medicaid | TX | |
| 094535401 | Other | TX | TMHP(CROSS OVER) |
Other providers in De Leon, TX
- Cross Timbers Health Clinic Inc
- Cross Timbers Health Clinics, Inc.
- Cross Timbers Health Clinics, Inc.
- Cross Timbers Health Clinics, Inc.
- De Leon Isd
- Dennis Whitsell
- Taira Louise Drews
- Demi Dyson
- Gloria Ann Ezell
- Brandon Scott Gilmore
All providers in De Leon, TX · Skilled Nursing Facility in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.