Ltc Healthcare Shepard Inc in Shepherd - Skilled Nursing Facility

Ltc Healthcare Shepard Inc - NPI 1306879580

Ltc Healthcare Shepard Inc is a Skilled Nursing Facility in Shepherd, Texas. Ltc Healthcare Shepard Inc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Ltc Healthcare Shepard Inc is 1306879580. The last update date is 2015-05-12.

Ltc Healthcare Shepard Inc's current location address is 101 Woodland Park Dr, Shepherd, Texas. You can contact this provider via phone number 9366283388 and fax number 9366286387. The mailing address for Ltc Healthcare Shepard Inc is 101 Woodland Park Dr, Shepherd, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Ltc Healthcare Shepard Inc
Address 101 Woodland Park Dr, Shepherd, Texas
Phone Number 9366283388
Fax Number 9366286387
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Mittleider K Douglas
Telephone Number 7708702813

NPI Number Detail

NPI Number 1306879580
Provider Enumeration Date 2006-07-09
Last Updated Date 2015-05-12

Provider Mailing Address Detail

Address 101 Woodland Park Dr
City Shepherd
State Texas (TX)
Post Code 773716497
Phone Number 9366283388
Fax Number 9366286387

Provider's Primary Taxonomy Detail

Speciality Skilled Nursing Facility
Taxonomy 314000000X
Licence No 115618
Definition:
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1001399 TX --

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FAQs about Ltc Healthcare Shepard Inc

What is the Ltc Healthcare Shepard Inc's unique identification number?

The Ltc Healthcare Shepard Inc has been assigned the NPI (National Provider Identifier) Number 1306879580 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you kindly provide the complete physical address where Ltc Healthcare Shepard Inc's facilities are geographically located?

The facilities of Ltc Healthcare Shepard Inc are physically situated at the following location: 101 Woodland Park Dr, Shepherd, TX, 773716497.

What is Ltc Healthcare Shepard Inc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Ltc Healthcare Shepard Inc is Skilled Nursing Facility, and the corresponding taxonomy classification code for this specialized field is 314000000X.

On what date did the Ltc Healthcare Shepard Inc receive the assignment of its 1306879580 from the Centers for Medicare & Medicaid Services?

The Ltc Healthcare Shepard Inc was issued its 1306879580 by the Centers for Medicare & Medicaid Services on 2006-07-09.

When was the information pertaining to Ltc Healthcare Shepard Inc most recently updated or revised?

The details related to Ltc Healthcare Shepard Inc, including its address, specialty, and other relevant information, were last updated or revised on 2015-05-12.

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