CHILDRESS COUNTY HOSPITAL DISTRICT (NPI# 1104221894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104221894 |
| Entity Type | Organization |
| Organization Name | CHILDRESS COUNTY HOSPITAL DISTRICT |
| Other Organization Name | PALO DURO NURSING HOME |
| Practice Address |
405 S Collins Street Claude TX 79019 |
| Practice Telephone | 8062265121 |
| Practice Fax Number | 8062262495 |
| Mailing Telephone | 8062265121 |
| Mailing Fax Number | 8062262495 |
| Enumeration Date | 2014-10-24 |
| Last Update Date | 2014-10-24 |
| Authorized Official Name | MR. JOHN M HENDERSON (CEO) |
| Authorized Official Telephone | 9409376371 |
| 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 | 004412 | 05 |
| Other Name | Type Code |
|---|---|
| PALO DURO NURSING HOME | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639619539 | Childress County Hospital District | Skilled Nursing Facility | 200 S. B Avenue, Crowell, TX 79227 | 2017-02-27 |
| 1902995525 | Childress County Hospital District | Clinic/Center | 1001 Hwy 83 North, Childress, TX 79201-2322 | 2006-10-12 |
| 1174625362 | Childress County Hospital District | Clinic/Center | 910 Rear Oak Lane, Childress, TX 79201 | 2006-09-01 |
| 1467477000 | Childress County Hospital District | Hospice Care, Community Based | Hwy 83 North, Childress, TX 79201 | 2006-07-13 |
| 1629000351 | Childress County Hospital District | Home Health | Highway 83 North, Childress, TX 79201 | 2006-07-06 |
| 1326079534 | Childress County Hospital District | General Acute Care Hospital | 901 Us Highway 83 N, Childress, TX 79201-2320 | 2006-07-05 |
| 1619493954 | Childress County Hospital District | Clinic/Center | 917 Gober St, Paducah, TX 79248 | 2017-08-18 |
| 1477078517 | Childress County Hospital District | Clinic/Center | 506 W Noel St, Memphis, TX 79245-3328 | 2017-08-10 |
| 1548653082 | Childress County Hospital District | Skilled Nursing Facility | 805 Harrison Ave, Matador, TX 79244-2000 | 2015-03-09 |
| 1073902631 | Childress County Hospital District | Skilled Nursing Facility | 5601 Plum Creek Dr, Amarillo, TX 79124-1801 | 2015-01-20 |
| Street Address |
405 S COLLINS STREET |
| City | CLAUDE |
| State | TX |
| Zip Code | 79019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235779638 | Errin Lea Minkley | Dietitian, Registered | 978 Us Hwy 287, Claude, TX 79019 | 2020-01-14 |
| 1619458049 | Melissa Soto | Physical Medicine & Rehabilitation | 405 Collins St, Claude, TX 79019 | 2018-08-23 |
| 1336641133 | King Venture Pllc | Pharmacy | 100 Trice St, Claude, TX 79019 | 2018-03-07 |
| 1831449743 | Jean Ann Wyble | Occupational Therapy Assistant | 405 South Collins Street, Palo Duro Nursing Home, Claude, TX 79019 | 2012-09-18 |
| 1154440741 | Armstrong County Medical Center | Clinic/Center | 201 Parks Street, Claude, TX 79019 | 2007-03-28 |
| 1639191174 | Randy C Wright | Pharmacist | 200 Parks Street, Claude, TX 79019 | 2006-07-24 |
| 1104803162 | Palo Duro Nursing Home Inc | Skilled Nursing Facility | 405 S Collins, Claude, TX 79019 | 2005-12-29 |
| 1356825798 | Chera Brown | Occupational Therapy Assistant | 405 Collins St, Claude, TX 79019 | 2018-09-21 |
| 1700187879 | Palo Duro Management, LLC | Skilled Nursing Facility | 405 S Collins, Claude, TX 79019 | 2010-11-05 |
| 1841262003 | Randy L Stewart | Internal Medicine | 201 S. Park St., Claude, TX 79019-0130 | 2006-02-02 |
| Find all providers in zip 79019 | ||||
| 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 |
|---|---|---|---|---|
| 1104803162 | Palo Duro Nursing Home Inc | Skilled Nursing Facility | 405 S Collins, Claude, TX 79019 | 2005-12-29 |
| 1700187879 | Palo Duro Management, LLC | Skilled Nursing Facility | 405 S Collins, Claude, TX 79019 | 2010-11-05 |
| 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.