Quitman Nursing and Rehab Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

004108 Issued in TX

Legal business name

QUITMAN NURSING AND REHAB CENTER, LLC

Doing business as

Heritage Healthcare Residence

Practice address

1026 E Goode St
Quitman, TX 75783-1641

Phone

(903) 763-2284

NPI assigned

Nov 27, 2014

Last updated

Nov 27, 2014By 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

Joe Neuman

Title

Chief Executive Officer

Phone

(214) 396-3462

Specialties & licenses 1

Addresses

Other names 1

• Heritage Healthcare Residence Doing business as

Locations

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

{
    "created_epoch": "1417046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417046400000",
    "number": "1932506474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 CLIFTON AVE STE 12",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087013342",
            "telephone_number": "214-396-3462",
            "fax_number": "214-396-3482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 E GOODE ST",
            "city": "QUITMAN",
            "state": "TX",
            "postal_code": "757831641",
            "telephone_number": "903-763-2284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUITMAN NURSING AND REHAB CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-27",
        "last_updated": "2014-11-27",
        "status": "A",
        "authorized_official_last_name": "NEUMAN",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "214-396-3462"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "004108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Healthcare Residence",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Quitman, TX
• Providers in Quitman, 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 Nov 27, 2014; 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.