PARK PLAZA NURSING CENTER, INC (NPI# 1013910587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013910587 |
| Entity Type | Organization |
| Organization Name | PARK PLAZA NURSING CENTER, INC |
| Practice Address |
2210 Howard St San Angelo TX 76901-1318 |
| Practice Telephone | 3259440561 |
| Practice Fax Number | 3259440562 |
| Mailing Telephone | 3259440561 |
| Mailing Fax Number | 3259440562 |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. GREG LOUDERMILK (PRESIDENT ADMINISTRATOR) |
| Authorized Official Telephone | 3259440561 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 313M00000X | Nursing Facility/Intermediate Care Facility | 110002 | TX | Nursing & Custodial Care Facilities |
| X | 314000000X | Skilled Nursing Facility | 110002 | TX | Nursing & Custodial Care Facilities |
| Street Address |
2210 HOWARD ST |
| City | SAN ANGELO |
| State | TX |
| Zip Code | 76901-1318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891270245 | Dawn Root | Occupational Therapy Assistant | 2210 Howard St, San Angelo, TX 76901-1318 | 2018-10-02 |
| 1770727455 | Park Plaza Ltc Partners, Inc. | Skilled Nursing Facility | 2210 Howard St, San Angelo, TX 76901-1318 | 2009-04-27 |
| 1710924287 | Iris Taber | Psychologist | 2210 Howard St, San Angelo, TX 76901-1318 | 2006-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174043962 | H-e-b, Lp | Clinical Medical Laboratory | 5502 Sherwood Way, San Angelo, TX 76901 | 2017-06-22 |
| 1275053225 | Sherri Nell Burk | Speech-Language Pathologist | 105 Westland, San Angelo, TX 76901 | 2017-06-21 |
| 1174061295 | Yujun Rong | Pharmacist | 7101 Appaloosa Trail Apt 116, San Angelo, TX 76901 | 2017-02-09 |
| 1982078176 | Trust In God Ministries | Case Manager/Care Coordinator | 2727 Freeland Avenue, San Angelo, TX 76901 | 2015-11-25 |
| 1962886234 | Jacquelyn Nila Bowen | Speech-Language Pathologist | 105 Westland Ave., San Angelo, TX 76901 | 2015-07-16 |
| 1487961769 | John Paul Kinyon | Pharmacist | 3368 Sherwood Way, San Angelo, TX 76901 | 2010-09-08 |
| 1417192188 | Dea Health & Educational Services, Inc. | Home Health | 10764 Dennis Dr., San Angelo, TX 76901 | 2008-12-10 |
| 1699813618 | Jose Antonio Contreras Sr. | Counselor | 2307 West Harris, San Angelo, TX 76901 | 2007-02-02 |
| 1821134859 | Carol J Jeffers | Counselor | 2013 West Beauregard Ave, San Angelo, TX 76901 | 2007-01-29 |
| 1346324498 | Sheila King Stewart | Counselor | 1 North Milton, Suite 10, San Angelo, TX 76901 | 2006-10-25 |
| Find all providers in zip 76901 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| 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 rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164853164 | Patricia N. Prior | Nursing Facility/Intermediate Care Facility | 3448 Sequoia Cir, San Angelo, TX 76904-6316 | 2013-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922660471 | Castro County Hospital District | Nursing Facility/Intermediate Care Facility | 701 Butler Blvd, Dimmitt, TX 79027-2720 | 2019-07-05 |
| 1023674520 | Eunice Nadine Hall | Nursing Facility/Intermediate Care Facility | 110 W. Troupe St, Mabank, TX 75147-8651 | 2019-05-10 |
| 1467945626 | Regency Ihs of Windsor Mission Oaks LLC | Nursing Facility/Intermediate Care Facility | 3030 S Roosevelt Ave, San Antonio, TX 78214-2337 | 2018-06-12 |
| 1508363086 | Solomon Ishaq | Nursing Facility/Intermediate Care Facility | 1818 Arundel Dr, Carrollton, TX 75007-3012 | 2018-04-10 |
| 1740798651 | Mission Valley Nursing and Transitional Care LLC | Nursing Facility/Intermediate Care Facility | 1200 S Bryan Rd, Mission, TX 78572-6840 | 2018-01-12 |
| 1841738580 | Su Casa Adult Foster Home | Nursing Facility/Intermediate Care Facility | 12462 Paseo De Arco Ct, El Paso, TX 79928-5669 | 2017-02-02 |
| 1225402753 | West Wharton County Hospital District | Nursing Facility/Intermediate Care Facility | 248 Wisteria Ln, El Campo, TX 77437-2545 | 2015-11-20 |
| 1447635040 | Sarah Padlan I | Nursing Facility/Intermediate Care Facility | 3808 Veterans Blvd, Studio 6, Del Rio, TX 78840-2859 | 2015-07-23 |
| 1902289358 | Fnu Anushree | Nursing Facility/Intermediate Care Facility | 328 Bedford Rd Apt 247, Bedford, TX 76022-8032 | 2015-07-02 |
| 1699154278 | Royal Manor Care Center, Inc. | Nursing Facility/Intermediate Care Facility | 4545 S Buckner Blvd, Dallas, TX 75227-4207 | 2015-05-28 |
| Find all providers with the same taxonomy | ||||
| City | SAN ANGELO |
| Zip Code | 76901 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.