Legend Healthcare Jacksonville, Llc in Jacksonville - Skilled Nursing Facility
Legend Healthcare Jacksonville, Llc - NPI 1962599738
Legend Healthcare Jacksonville, Llc is a Skilled Nursing Facility in Jacksonville, Texas. Legend Healthcare Jacksonville, Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Legend Healthcare Jacksonville, Llc is 1962599738. The last update date is 2009-04-01.
Legend Healthcare Jacksonville, Llc's current location address is 810 Belaire St, Jacksonville, Texas. You can contact this provider via phone number 9035895300 and fax number 9035895335. The mailing address for Legend Healthcare Jacksonville, Llc is 810 Belaire St, Jacksonville, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Legend Healthcare Jacksonville, Llc |
|---|---|
| Address | 810 Belaire St, Jacksonville, Texas |
| Phone Number | 9035895300 |
| Fax Number | 9035895335 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Tomerlin Martin |
| Telephone Number | 2105640100 |
NPI Number Detail
| NPI Number | 1962599738 |
|---|---|
| Provider Enumeration Date | 2006-10-05 |
| Last Updated Date | 2009-04-01 |
Provider Mailing Address Detail
| Address | 810 Belaire St |
|---|---|
| City | Jacksonville |
| State | Texas (TX) |
| Post Code | 757669045 |
| Phone Number | 9035895300 |
| Fax Number | 9035895335 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 5478 |
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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 |
|---|---|---|---|
| 1014058 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Legend Healthcare Jacksonville, Llc by the Centers for Medicare & Medicaid Services?
The Legend Healthcare Jacksonville, Llc has been assigned the NPI (National Provider Identifier) 1962599738 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Legend Healthcare Jacksonville, Llc's physical address?
The Legend Healthcare Jacksonville, Llc is physically located at 810 Belaire St, in the city of Jacksonville, TX, with the postal code 757669045.
What is the area of specialization for Legend Healthcare Jacksonville, Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Legend Healthcare Jacksonville, Llc is Skilled Nursing Facility, and the corresponding taxonomy code that categorizes this area of expertise is 314000000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1962599738 to Legend Healthcare Jacksonville, Llc?
The Legend Healthcare Jacksonville, Llc received its 1962599738 assignment from the Centers for Medicare & Medicaid Services on 2006-10-05.
When was the information related to Legend Healthcare Jacksonville, Llc most recently updated or refreshed?
The details pertaining to the Legend Healthcare Jacksonville, Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-04-01.