Johnson Custodial Home, Inc. in Arlington - Nursing Facility/intermediate Care Facility
Johnson Custodial Home, Inc. - NPI 1407853823
Johnson Custodial Home, Inc. is a Nursing Facility/intermediate Care Facility in Arlington, Texas. Johnson Custodial Home, Inc. practices all healthcare services and medical treatments related to Nursing Facility/intermediate Care Facility. The NPI Number for Johnson Custodial Home, Inc. is 1407853823. The last update date is 2020-08-22.
Johnson Custodial Home, Inc.'s current location address is 3801 Woodside Dr, Arlington, Texas. You can contact this provider via phone number 8176543042 and fax number 8174463666. The mailing address for Johnson Custodial Home, Inc. is 3801 Woodside Dr, Arlington, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Johnson Custodial Home, Inc. |
|---|---|
| Address | 3801 Woodside Dr, Arlington, Texas |
| Phone Number | 8176543042 |
| Fax Number | 8174463666 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Killian L Cheryl |
| Telephone Number | 8176543042 |
NPI Number Detail
| NPI Number | 1407853823 |
|---|---|
| Provider Enumeration Date | 2005-06-30 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 3801 Woodside Dr |
|---|---|
| City | Arlington |
| State | Texas (TX) |
| Post Code | 760163030 |
| Phone Number | 8176543042 |
| Fax Number | 8174463666 |
Provider's Primary Taxonomy Detail
| Speciality | Nursing Facility/intermediate Care Facility |
|---|---|
| Taxonomy | 313M00000X |
| Licence No | 111923 |
|
Definition: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the reha |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4694 | TX | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Johnson Custodial Home, Inc. by the Centers for Medicare & Medicaid Services?
The Johnson Custodial Home, Inc. has been assigned the NPI (National Provider Identifier) 1407853823. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Johnson Custodial Home, Inc. located?
The Johnson Custodial Home, Inc. is located at 3801 Woodside Dr, Arlington, TX 760163030.
What is the Johnson Custodial Home, Inc.'s specialty and taxonomy code?
The Johnson Custodial Home, Inc.'s specialty is Nursing Facility/intermediate Care Facility, and the corresponding taxonomy code is 313M00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1407853823 to Johnson Custodial Home, Inc.?
The Johnson Custodial Home, Inc. received its 1407853823 assignment from the Centers for Medicare & Medicaid Services on 2005-06-30.
When was the information regarding Johnson Custodial Home, Inc. most recently updated?
The details pertaining to the Johnson Custodial Home, Inc., including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.
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