WHITESBORO SCC LLC (NPI# 1053556712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053556712 |
| Entity Type | Organization |
| Organization Name | WHITESBORO SCC LLC |
| Other Organization Name | WHITESBORO HEALTH AND REHABILITATION CENTER |
| Practice Address |
1204 Sherman Dr Whitesboro TX 76273-9564 |
| Practice Telephone | 9035647900 |
| Practice Fax Number | 9035647028 |
| Mailing Telephone | 9035647900 |
| Mailing Fax Number | 9035647028 |
| Enumeration Date | 2008-12-10 |
| Last Update Date | 2020-09-04 |
| Authorized Official Name | JASON PRICE (SENIOR VICE PRESIDENT) |
| Authorized Official Telephone | 9494364343 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 314000000X | Skilled Nursing Facility | 127049 | TX | Nursing & Custodial Care Facilities |
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 001016938 | 05 |
| Other Name | Type Code |
|---|---|
| Whitesboro Health and Rehabilitation Center | Doing Business As Name - Organization |
| Street Address |
1204 SHERMAN DR |
| City | WHITESBORO |
| State | TX |
| Zip Code | 76273-9564 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912909045 | Senior Care Management | Skilled Nursing Facility | 1204 Sherman Dr, Whitesboro, TX 76273-9564 | 2005-06-01 |
| 1811479652 | Danila Griffis Skaugen | Speech-Language Pathologist | 1204 Sherman Dr, Whitesboro, TX 76273-9564 | 2018-08-29 |
| 1831670884 | Haley Payne | Occupational Therapy Assistant | 1204 Sherman Dr, Whitesboro, TX 76273-9564 | 2018-08-28 |
| 1558847558 | Stephanie Zackery | Licensed Vocational Nurse | 1204 Sherman Dr, Whitesboro, TX 76273-9564 | 2018-07-13 |
| 1992199756 | Whitesboro Health Care Center LLC | Skilled Nursing Facility | 1204 Sherman Dr, Whitesboro, TX 76273-9564 | 2015-03-19 |
| 1285908418 | Laura Christine Tallent | Physical Therapy Assistant | 1204 Sherman Dr, Whitesboro, TX 76273 | 2012-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881211746 | Integrity Medical Clinic LLC | Family Medicine | 109 Bois D'arc, Whitesboro, TX 76273 | 2020-06-26 |
| 1912489386 | Stephanie Marie Hellman | Occupational Therapy Assistant | 1204 Sherman Drive, Whitesboro, TX 76273 | 2018-09-03 |
| 1124330550 | Minah Kim Campbell | Dentist | 545 Hwy 377 North, Suite #103, Whitesboro, TX 76273 | 2010-07-14 |
| 1235459660 | Bynum Eye Care P A | Optometrist | 650 N. Hwy 377, Whitesboro, TX 76273 | 2010-06-08 |
| 1104065804 | Johnson Chiropractic Center | Chiropractor | 580 Hwy 377 N, Whitesboro, TX 76273 | 2009-02-19 |
| 1619037397 | Diversified Pharmacy Care | Pharmacist | 304 One Half Charlie Dr., Suite B, Whitesboro, TX 76273 | 2006-12-11 |
| 1518042332 | Alfred Leonard Jowitt | Family Medicine | 109 Bois D Arc, Whitesboro, TX 76273 | 2006-10-27 |
| 1871507863 | 1st Texas Home Health | Home Health | 2535 Highway 82 East Suite D, Whitesboro, TX 76273 | 2006-07-28 |
| 1003850264 | Dave Wayne Tuck | Chiropractor | 580 Hwy 377 N., Whitesboro, TX 76273 | 2006-06-16 |
| 1972553915 | Axtells Rite Value Pharmacy Inc | Pharmacist | 304 1/2 Charlie Dr., Whitesboro, TX 76273 | 2006-05-11 |
| Find all providers in zip 76273 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (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 services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912909045 | Senior Care Management | Skilled Nursing Facility | 1204 Sherman Dr, Whitesboro, TX 76273-9564 | 2005-06-01 |
| 1992199756 | Whitesboro Health Care Center LLC | Skilled Nursing Facility | 1204 Sherman Dr, Whitesboro, TX 76273-9564 | 2015-03-19 |
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| 1538770839 | Go Operations 3 LLC | Skilled Nursing Facility | 4366 Lockhill Selma, Shavano, TX 78249 | 2020-08-11 |
| 1912516329 | Patriot Skilled Nursing and Rehabilitation LLC | Skilled Nursing Facility | 11490 Gateway N Blvd., El Paso, TX 79934 | 2020-07-31 |
| 1972112464 | The Brixton At Horseshoe Bay | Skilled Nursing Facility | 15101 West Fm 2147, Horseshoe Bay, TX 78657 | 2020-07-30 |
| 1558984278 | Slp Johnson City LLC | Skilled Nursing Facility | 206 Haley Rd, Johnson City, TX 78636-4617 | 2020-05-28 |
| 1073136149 | Continuum Rehab Group | Skilled Nursing Facility | 3326 Burgoyne St # 1432, Dallas, TX 75233-1304 | 2020-05-24 |
| 1750904264 | Frank Villanueva | Skilled Nursing Facility | 711 W Broadway St, Denver City, TX 79323-3000 | 2020-05-19 |
| Find all providers with the same taxonomy | ||||
| City | WHITESBORO |
| Zip Code | 76273 |
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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.