Organization Active NPI

Rusk Nursing & Rehab Center LLC

Doing business as Cherokee Trails Nursing Home

  • Skilled Nursing Facility
  • Rusk, TX
National Provider Identifier
1952748956
Registry record updated May 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
RUSK NURSING & REHAB CENTER LLC
Doing business as
Cherokee Trails Nursing Home
Practice address
330 Bagley Rd
Rusk, TX 75785-1930
Phone
(903) 683-5438
Fax
(903) 683-8418
NPI assigned
May 30, 2013
Last updated
May 6, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2015

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

Authorized official

Name
Mrs. Beverly K Blalock
Title
Member
Phone
(254) 744-5249

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

330 Bagley Rd
Rusk, TX 75785-1930

Mailing address

403 E Commerce St
Fairfield, TX 75840-1603
Phone (903) 389-1009

Other names 1

  • Cherokee Trails Nursing Home Doing business as

National Provider Directory

National Provider Directory

Locations

403 E Commerce St
Fairfield, TX 75840
Phone (832) 597-6487

NPI Registry JSON

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

{
    "created_epoch": "1369872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430870400000",
    "number": "1952748956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 E COMMERCE ST",
            "city": "FAIRFIELD",
            "state": "TX",
            "postal_code": "758401603",
            "telephone_number": "903-389-1009",
            "fax_number": "903-389-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 BAGLEY RD",
            "city": "RUSK",
            "state": "TX",
            "postal_code": "757851930",
            "telephone_number": "903-683-5438",
            "fax_number": "903-683-8418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSK NURSING & REHAB CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-30",
        "last_updated": "2015-05-06",
        "status": "A",
        "authorized_official_last_name": "BLALOCK",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "254-744-5249",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cherokee Trails Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rusk, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; 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.