Legacy Healthcare Corp in Madisonville - Skilled Nursing Facility
Legacy Healthcare Corp - NPI 1831113463
Legacy Healthcare Corp is a Skilled Nursing Facility in Madisonville, Texas. Legacy Healthcare Corp practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Legacy Healthcare Corp is 1831113463. The last update date is 2020-08-22.
Legacy Healthcare Corp's current location address is 600 Bacon St, Madisonville, Texas. You can contact this provider via phone number 9363489097 and fax number 9363489212. The mailing address for Legacy Healthcare Corp is 600 Bacon St, Madisonville, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Legacy Healthcare Corp |
|---|---|
| Address | 600 Bacon St, Madisonville, Texas |
| Phone Number | 9363489097 |
| Fax Number | 9363489212 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Johnson Tom |
| Telephone Number | 4234785953 |
NPI Number Detail
| NPI Number | 1831113463 |
|---|---|
| Provider Enumeration Date | 2006-07-27 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 600 Bacon St |
|---|---|
| City | Madisonville |
| State | Texas (TX) |
| Post Code | 778642511 |
| Phone Number | 9363489097 |
| Fax Number | 9363489212 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 116849 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5342 | TX | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Legacy Healthcare Corp?
The Legacy Healthcare Corp has been issued the NPI (National Provider Identifier) 1831113463 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Legacy Healthcare Corp?
The Legacy Healthcare Corp is physically situated at 600 Bacon St, in the city of Madisonville, state of TX, with the postal code 778642511.
What is Legacy Healthcare Corp's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Legacy Healthcare Corp's specialized field of practice is Skilled Nursing Facility, and the corresponding taxonomy code that categorizes this area of specialization is 314000000X.
On what date did the Legacy Healthcare Corp receive the assignment of its 1831113463 from the Centers for Medicare & Medicaid Services?
The Legacy Healthcare Corp was issued its 1831113463 by the Centers for Medicare & Medicaid Services on 2006-07-27.
As of what date were the details related to Legacy Healthcare Corp most recently updated or revised?
The information pertaining to Legacy Healthcare Corp, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
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