KILGORE HEALTHCARE LLC (NPI# 1083011787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083011787 |
| Entity Type | Organization |
| Organization Name | KILGORE HEALTHCARE LLC |
| Practice Address |
2700 S Henderson Blvd Kilgore TX 75662-4033 |
| Mailing Address |
8383 Wilshire Blvd Ste 830 Beverly Hills CA 90211-2425 |
| Practice Telephone | 9039843511 |
| Enumeration Date | 2014-11-24 |
| Last Update Date | 2020-09-15 |
| Authorized Official Name | SOL GURWITZ (MANAGER) |
| Authorized Official Telephone | 9039843511 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 001026513 | 05 |
| Street Address |
2700 S HENDERSON BLVD |
| City | KILGORE |
| State | TX |
| Zip Code | 75662-4033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447246145 | Kilgore Manor Inc | Nursing Facility/Intermediate Care Facility | 2700 S Henderson Blvd, Kilgore, TX 75662-4033 | 2005-09-27 |
| 1689130569 | C.m. Speaks, N.p., Pllc | Nurse Practitioner | 2700 S Henderson Blvd, Kilgore, TX 75662-4033 | 2019-02-15 |
| 1922589563 | Angela Matthews Almanza | Occupational Therapy Assistant | 2700 S Henderson Blvd, Kilgore, TX 75662-4033 | 2018-08-22 |
| 1053892604 | Tashata Re'kal Jackson | Occupational Therapy Assistant | 2700 S Henderson Blvd, Kilgore, TX 75662-4033 | 2018-08-22 |
| 1013498666 | Curtis Evans | Physical Therapy Assistant | 2700 S Henderson Blvd, Kilgore, TX 75662-4033 | 2018-08-22 |
| 1538679931 | Mpd Texas Resources of Kilgore LLC | Skilled Nursing Facility | 2700 S Henderson Blvd, Kilgore, TX 75662-4033 | 2017-10-11 |
| 1992021661 | Kilgore I Enterprises, LLC | Skilled Nursing Facility | 2700 S Henderson Blvd, Kilgore, TX 75662-4033 | 2010-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346890621 | Linda Gail Watson | Technician | 190 Glendale St, Kilgore, TX 75662 | 2019-09-18 |
| 1174185151 | Jennifer Darlene Franks | Registered Nurse | 6144 Gateway Center Pmb # 320, Kilgore, TX 75662 | 2019-07-01 |
| 1215363312 | Kilgore Integrated Health Pllc | Chiropractor | 726 Us Highway 259 N, Kilgore, TX 75662 | 2013-09-20 |
| 1407172240 | Jeffrey Alan Davis | Specialist/Technologist | 300 N. Kilgore Street, Kilgore, TX 75662 | 2010-04-19 |
| 1396923777 | Rachel Thunder Rose Wyatt | Physical Therapist | 1200 Dudley Road, Kilgore, TX 75662 | 2008-02-07 |
| 1346313673 | Brookshire Grocery Company | Pharmacy | 747 Hwy 259 North, Attention Pharmacy Dept, Kilgore, TX 75662 | 2006-11-16 |
| 1417026451 | Jeffery John Pinkerton | Optometrist | 800 Highway 259 North, Kilgore, TX 75662 | 2006-11-06 |
| 1831205004 | Joseph Claude De Graffenried Jr. | Dentist | 238 Lawrence St, Kilgore, TX 75662 | 2006-08-21 |
| 1235159500 | Charles Robert Cottier | Chiropractor | 316 Henderson, Kilgome, TX 75662 | 2006-07-20 |
| 1346509494 | Kelton Hospice, Inc. | Hospice Care, Community Based | 1100 Stone Road, Suite 269, Kilgore, TX 75662 | 2012-05-10 |
| Find all providers in zip 75662 | ||||
| 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 |
|---|---|---|---|---|
| 1336124643 | Willow Bluff LLC | Skilled Nursing Facility | 1901 Whipporwill Ln, Kilgore, TX 75662-3880 | 2005-12-08 |
| 1538679931 | Mpd Texas Resources of Kilgore LLC | Skilled Nursing Facility | 2700 S Henderson Blvd, Kilgore, TX 75662-4033 | 2017-10-11 |
| 1376942656 | Titus County Hospital District | Skilled Nursing Facility | 1901 Whipporwill Ln, Kilgore, TX 75662-3880 | 2014-08-22 |
| 1164854691 | Arbor Grace Skilled Nursing and Rehabilitation LLC | Skilled Nursing Facility | 144 Fm 1252 W, Kilgore, TX 75662-5093 | 2013-08-07 |
| 1639423262 | Willow Snf LLC | Skilled Nursing Facility | 1901 Whipporwill Ln, Kilgore, TX 75662-3880 | 2012-11-05 |
| 1619287273 | Southwest Ltc Kilgore Ltd | Skilled Nursing Facility | 1901 Whipporwill Ln, Kilgore, TX 75662-3880 | 2010-10-18 |
| 1992021661 | Kilgore I Enterprises, LLC | Skilled Nursing Facility | 2700 S Henderson Blvd, Kilgore, TX 75662-4033 | 2010-04-20 |
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|---|---|---|---|---|
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| 1609473362 | Touchstone Strategies - Penitas, LLC | Skilled Nursing Facility | 414 Liberty Blvd., Penitas, TX 78576 | 2020-10-06 |
| 1649884313 | Springtown Ventures Lp | Skilled Nursing Facility | 201 Williams Ward Rd., Springtown, TX 76082 | 2020-09-01 |
| 1821601691 | Altamira Healthcare LLC | Skilled Nursing Facility | 200 Carla St, Zapata, TX 78076-3114 | 2020-08-31 |
| 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 | ||||
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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.