Organization Active NPI

Pinecreek Family LP

  • Skilled Nursing Facility
  • Tyler, TX
National Provider Identifier
1972966166
Registry record updated Apr 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
PINECREEK FAMILY LP
Practice address
1501 W 29TH St
Tyler, TX 75702-1404
Phone
(903) 592-8148
NPI assigned
Apr 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2016

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

Authorized official

Name
Helen Tyler
Title
Partner
Phone
(903) 592-8148

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1501 W 29TH St
Tyler, TX 75702-1404

Mailing address

1501 W 29TH St
Tyler, TX 75702-1404

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459814400000",
    "number": "1972966166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 W 29TH ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757021404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 W 29TH ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757021404",
            "telephone_number": "903-592-8148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINECREEK FAMILY LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-04",
        "last_updated": "2016-04-05",
        "status": "A",
        "authorized_official_last_name": "TYLER",
        "authorized_official_first_name": "HELEN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "903-592-8148"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2016; 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.