RIO ONE AT TARRANT COUNTY, LLC (NPI# 1083088959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083088959 |
| Entity Type | Organization |
| Organization Name | RIO ONE AT TARRANT COUNTY, LLC |
| Other Organization Name | THE LODGE AT BEAR CREEK |
| Practice Address |
3729 Ira E Woods Ave Grapevine TX 76051-4213 |
| Mailing Address |
8820 Horizon Blvd Ne Albuquerque NM 87113-1689 |
| Practice Telephone | 8178098000 |
| Mailing Telephone | 5053690079 |
| Enumeration Date | 2015-11-16 |
| Last Update Date | 2016-08-22 |
| Authorized Official Name | MRS. KELLEY WHITAKER (CHIEF OPERATIONS OFFICER) |
| Authorized Official Telephone | 5053690079 |
| 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 | STATE LICENSE | 802160926 | 01 |
| TX | 001027384 | 05 |
| Other Name | Type Code |
|---|---|
| The Lodge at Bear Creek | Doing Business As Name - Organization |
| Street Address |
3729 IRA E WOODS AVE |
| City | GRAPEVINE |
| State | TX |
| Zip Code | 76051-4213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215564919 | Jenna Elizabeth Tinsley | Physical Therapist | 3729 Ira E Woods Ave, Grapevine, TX 76051-4213 | 2020-03-24 |
| 1285116285 | Angela Morris | Occupational Therapy Assistant | 3729 Ira E Woods Ave, Grapevine, TX 76051-4213 | 2018-09-05 |
| 1881175958 | Megan Noelle Tucker | Occupational Therapy Assistant | 3729 Ira E Woods Ave, Grapevine, TX 76051-4213 | 2018-08-27 |
| 1891276812 | Stephanie Christine King | Physical Therapist | 3729 Ira E Woods Ave, Grapevine, TX 76051-4213 | 2018-08-27 |
| 1033690219 | Susan Lorraine Hill | Physical Therapy Assistant | 3729 Ira E Woods Ave, Grapevine, TX 76051-4213 | 2018-08-24 |
| 1285115790 | Lauren Hildinger | Physical Therapy Assistant | 3729 Ira E Woods Ave, Grapevine, TX 76051-4213 | 2018-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881227346 | Jeffrey Joseph Cervenka | Physical Therapist | 2421 Ira E Woods Ave #101, Grapevine, TX 76051 | 2020-02-12 |
| 1871137562 | Karen Lorince | Counselor | 2409 N. Support Road, Grapevine, TX 76051 | 2019-11-05 |
| 1548733785 | Jessica Thorman Johnson | Dietitian, Registered | 1056 Texan Trail (fortis Bmi), Grapevine, TX 76051 | 2019-01-10 |
| 1164928958 | Kristen Diou | Counselor | 913 S Church St Ste 103, Grapevine, TX 76051 | 2018-04-02 |
| 1356860597 | Anissa Singratanakul D.m.d, Pllc | Dentist | 1231 William D Tate Suite 400, Grapevine, TX 76051 | 2017-09-19 |
| 1033637665 | James Abraham Thomas | Pharmacy | 1601 W. State Hwy 114, Grapevine, TX 76051 | 2017-09-04 |
| 1437606563 | D'anna Sims | Counselor | 2451 Stone Myers Parkway, #100, Grapevine, TX 76051 | 2016-09-07 |
| 1477006369 | Melinda Jeanne Mashburn | Nurse Practitioner | 1600 West College St., Suite 60, Grapevine, TX 76051 | 2016-07-27 |
| 1437506623 | Allcare Physicians Group | Registered Nurse | 1111 S Main St Ste 119, Grapevine, TX 76051 | 2016-05-18 |
| 1790141745 | Colwick Counseling | Clinic/Center | 1400 W. Northwest Highway Suite 260, Grapevine, TX 76051 | 2016-01-06 |
| Find all providers in zip 76051 | ||||
| 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 |
|---|---|---|---|---|
| 1336543081 | Decatur Hospital Authority | Skilled Nursing Facility | 1005 Ira E. Woods Parkway, Grapevine, TX 76051-4018 | 2014-10-09 |
| 1922061837 | Hmg Grapevine Snf Operations, Lp | Skilled Nursing Facility | 1005 Ira E Woods Ave, Grapevine, TX 76051-4018 | 2006-04-11 |
| 1457329658 | Center for Long Term Care of Woodridge, Inc | Skilled Nursing Facility | 1500 Autumn Dr, Grapevine, TX 76051-3103 | 2006-03-14 |
| 1205471711 | Almonte Care of Grapevine, LLC | Skilled Nursing Facility | 1500 Autumn Dr, Grapevine, TX 76051-3103 | 2019-11-08 |
| 1750632675 | Greater Southwest Medical Associates | Skilled Nursing Facility | 815 Ira E Woods Ave, 200, Grapevine, TX 76051-4008 | 2012-10-02 |
| 1992976351 | Mspf-iv Grapevine Oe, Lp | Skilled Nursing Facility | 1005 Ira E Woods Ave, Grapevine, TX 76051-4018 | 2008-03-13 |
| 1609963743 | Pinnacle Health Facilities Xv Lp | Skilled Nursing Facility | 1500 Autumn Dr, Grapevine, TX 76051-3103 | 2006-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285233171 | Center At Zaragoza, LLC | Skilled Nursing Facility | 12660 Pebble Hills Blvd., El Paso, TX 79936 | 2020-10-21 |
| 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.