SLP Jacksonville LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SLP JACKSONVILLE LLC

Doing business as

Jacksonville Healthcare Center

Practice address

305 Bonita St
Jacksonville, TX 75766

Phone

(903) 586-3616

Fax

(903) 586-7497

NPI assigned

May 18, 2006

Organization subpart

No

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

Authorized official

Name

Richard Agnew

Title

Authorized Official

Phone

(512) 565-6159

Specialties & licenses 1

Addresses

Other names 1

• Jacksonville Healthcare Center Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Winnie-Stowell Hospital District

  dba Avir at Paris

  • Skilled Nursing Facility
  • Paris, TX
  • NPI 1194713941

  Member Of

  NPD member

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Khoren Hekimian, DO

  • Family Medicine Physician
  • Troup, TX
  • NPI 1588695423
  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751241600000",
    "number": "1952354318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 BONITA ST",
            "city": "JACKSONVILLE",
            "state": "TX",
            "postal_code": "757665743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 BONITA ST",
            "city": "JACKSONVILLE",
            "state": "TX",
            "postal_code": "75766",
            "telephone_number": "903-586-3616",
            "fax_number": "903-586-7497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLP JACKSONVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A",
        "authorized_official_last_name": "AGNEW",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "512-565-6159"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jacksonville Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mindy Sexton, RN
• Ravish Nitinkumar Shah, PHARMD
• Billy Wayne Shelton, PH.D.
• Christopher Mark Sirianni, M.D.
• Peter A Sirianni, MD
• Gary E Smith, MD
• Honey Michelle Smith, FNP
• Jordan Victoria Smith, COTA
• Mary Maegan Smith
• Sammy Lee Smith, D.C.

• Skilled Nursing Facility in Jacksonville, TX
• Providers in Jacksonville, 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 Jun 30, 2025; 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.