McLennan County Nursing Home

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

004837 Issued in TX

Legal business name

MCLENNAN COUNTY NURSING HOME

Practice address

2501 Maple Ave
Waco, TX 76707-1337

Phone

(254) 752-3571

Fax

(254) 752-2005

NPI assigned

Oct 11, 2005

Organization subpart

No

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

Authorized official

Name

Dick Stebbins, CPA

Title

President of the General Partner

Phone

(903) 757-5360

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• QUALITY CARE OF WACO Doing business as

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347494400000",
    "number": "1942298146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E WHALEY ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756016525",
            "telephone_number": "903-757-5360",
            "fax_number": "903-753-8621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 MAPLE AVE",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767071337",
            "telephone_number": "254-752-3571",
            "fax_number": "254-752-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLENNAN COUNTY NURSING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-11",
        "last_updated": "2012-09-13",
        "status": "A",
        "authorized_official_last_name": "STEBBINS",
        "authorized_official_first_name": "DICK",
        "authorized_official_title_or_position": "PRESIDENT OF THE GENERAL PARTNER",
        "authorized_official_telephone_number": "903-757-5360",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "004837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HO4554787",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000483703",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111339102",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111339101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "QUALITY CARE OF WACO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• McLennan Community College
• McLennan County
• McLennan County Emergency Physicians , PA
• McLennan County Hospitalist Services PA
• McLennan County Medical Education and Research Foundation
• Denise Klaras McLeod, AU.D.
• Cody Robert McMahan, M.D.
• Leighann McMahan, HIS
• Young Thi McMahan, M.D.
• Paul Earl McMullen, D.C.

• Skilled Nursing Facility in Waco, TX
• Providers in Waco, 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 Sep 13, 2012; 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.