Legend Healthcare Gladewater, Lp in Gladewater - Skilled Nursing Facility
Legend Healthcare Gladewater, Lp - NPI 1508953399
Legend Healthcare Gladewater, Lp is a Skilled Nursing Facility in Gladewater, Texas. Legend Healthcare Gladewater, Lp practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Legend Healthcare Gladewater, Lp is 1508953399. The last update date is 2015-03-25.
Legend Healthcare Gladewater, Lp's current location address is 1201 Fm 2685, Gladewater, Texas. You can contact this provider via phone number 9038452175 and fax number 9038442435. The mailing address for Legend Healthcare Gladewater, Lp is 1201 Fm 2685, Gladewater, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Legend Healthcare Gladewater, Lp |
|---|---|
| Address | 1201 Fm 2685, Gladewater, Texas |
| Phone Number | 9038452175 |
| Fax Number | 9038442435 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Tomerlin Martin |
| Telephone Number | 2105640100 |
NPI Number Detail
| NPI Number | 1508953399 |
|---|---|
| Provider Enumeration Date | 2006-10-05 |
| Last Updated Date | 2015-03-25 |
Provider Mailing Address Detail
| Address | 1201 Fm 2685 |
|---|---|
| City | Gladewater |
| State | Texas (TX) |
| Post Code | 75647 |
| Phone Number | 9038452175 |
| Fax Number | 9038442435 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 5326 |
|
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 |
|---|---|---|---|
| 1012874 | TX | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Legend Healthcare Gladewater, Lp by the Centers for Medicare & Medicaid Services?
The Legend Healthcare Gladewater, Lp has been assigned the NPI (National Provider Identifier) 1508953399. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Legend Healthcare Gladewater, Lp is physically located?
The Legend Healthcare Gladewater, Lp is physically situated at the following address: 1201 Fm 2685, Gladewater, TX, 75647.
What is the Legend Healthcare Gladewater, Lp's area of specialization and corresponding taxonomy classification?
The Legend Healthcare Gladewater, Lp's specialty field is Skilled Nursing Facility, and it falls under the taxonomy code 314000000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1508953399 to Legend Healthcare Gladewater, Lp?
The Legend Healthcare Gladewater, Lp received its 1508953399 assignment from the Centers for Medicare & Medicaid Services on 2006-10-05.
When was the information pertaining to Legend Healthcare Gladewater, Lp most recently updated or revised?
The details related to Legend Healthcare Gladewater, Lp, including its address, specialty, and other relevant information, were last updated or revised on 2015-03-25.