St Johns Episcopal Retirement Corporation in Odessa - Nursing Facility/intermediate Care Facility

St Johns Episcopal Retirement Corporation - NPI 1578554309

St Johns Episcopal Retirement Corporation is a Nursing Facility/intermediate Care Facility in Odessa, Texas. St Johns Episcopal Retirement Corporation practices all healthcare services and medical treatments related to Nursing Facility/intermediate Care Facility. The NPI Number for St Johns Episcopal Retirement Corporation is 1578554309. The last update date is 2017-01-20.

St Johns Episcopal Retirement Corporation's current location address is 2443 W 16th St, Odessa, Texas. You can contact this provider via phone number 4323332904 and fax number 4323336454. The mailing address for St Johns Episcopal Retirement Corporation is 2443 W 16th St, Odessa, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization St Johns Episcopal Retirement Corporation
Address 2443 W 16th St, Odessa, Texas
Phone Number 4323332904
Fax Number 4323336454
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ASSISTANT
Authorized Official Name Smith J. Colleen
Telephone Number 4323332904

NPI Number Detail

NPI Number 1578554309
Provider Enumeration Date 2005-11-01
Last Updated Date 2017-01-20

Provider Mailing Address Detail

Address 2443 W 16th St
City Odessa
State Texas (TX)
Post Code 797632701
Phone Number 4323332904
Fax Number 4323336454

Provider's Primary Taxonomy Detail

Speciality Nursing Facility/intermediate Care Facility
Taxonomy 313M00000X
Licence No 110426
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
501202 TX --

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FAQs about St Johns Episcopal Retirement Corporation

What is the unique 10-digit identifier code issued to St Johns Episcopal Retirement Corporation by the Centers for Medicare & Medicaid Services?

The St Johns Episcopal Retirement Corporation has been assigned the NPI (National Provider Identifier) 1578554309 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete address where St Johns Episcopal Retirement Corporation is physically located?

The St Johns Episcopal Retirement Corporation is situated at the following address: 2443 W 16Th St, Odessa, TX 797632701.

What is St Johns Episcopal Retirement Corporation's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The St Johns Episcopal Retirement Corporation's specialized field of practice is Nursing Facility/intermediate Care Facility, and the corresponding taxonomy code that categorizes this area of specialization is 313M00000X.

On what date did St Johns Episcopal Retirement Corporation receive its 1578554309 assignment from the Centers for Medicare & Medicaid Services?

The St Johns Episcopal Retirement Corporation was assigned its 1578554309 on 2005-11-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to St Johns Episcopal Retirement Corporation most recently updated or revised?

The information pertaining to St Johns Episcopal Retirement Corporation, including its address, specialty, and other relevant details, was last updated or revised on 2017-01-20.

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