NACOGDOCHES HEALTH CARE CENTER LTD. CO (NPI# 1104812411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104812411 |
| Entity Type | Organization |
| Organization Name | NACOGDOCHES HEALTH CARE CENTER LTD. CO |
| Other Organization Name | DEER CREEK NURSING CENTER |
| Practice Address |
3305 North St Nacogdoches TX 75965-2690 |
| Mailing Address |
2537 Golden Bear Dr Carrollton TX 75006-2377 |
| Practice Telephone | 9365640256 |
| Practice Fax Number | 9365645298 |
| Mailing Telephone | 2149544114 |
| Mailing Fax Number | 2148713057 |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. ROBIN UNDERHILL (CHIEF EXECUTIVE) |
| Authorized Official Telephone | 2149544114 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 108619 | TX | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Deer Creek Nursing Center | Doing Business As Name - Organization |
| Street Address |
3305 NORTH ST |
| City | NACOGDOCHES |
| State | TX |
| Zip Code | 75965-2690 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295065472 | Mark S. Greer | Substance Abuse Rehabilitation Facility | 3305 North St, Nacogdoches, TX 75965-2690 | 2010-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649839135 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3824 N University Drive, Suite 103, Nacogdoches, TX 75965 | 2019-06-10 |
| 1518520493 | Billy Jobe | Pharmacist | 917 East Austin, Nacogdoches, TX 75965 | 2019-04-17 |
| 1295217610 | Sarah Ponder | Registered Nurse | 625 Woodway Lane, Nacogdoches, TX 75965 | 2018-09-01 |
| 1083107684 | Aakash Deep Gupta | Dentist | 4610 North St Ste 101b, Nacogdoches, TX 75965 | 2018-06-08 |
| 1679097455 | Emily Morris Taravella | Counselor | 3524 Ne Stallings Drive, Nacogdoches, TX 75965 | 2017-08-02 |
| 1457809949 | Kassey Osborn | Nurse Practitioner | 4920 Ne Stallings Dr., Nacogdoches Medical Center, Nacogdoches, TX 75965 | 2016-09-14 |
| 1629426747 | Lisa Greathouse | Technician, Other | 500 Chincapin, Westville, OK 75965 | 2016-05-31 |
| 1457741704 | Nuch of Texas | Pediatrics | 1305 North Street, Nacogdoches, TX 75965 | 2015-01-26 |
| 1730506031 | Benjamin Patrick Thompson | Obstetrics & Gynecology | 4800 Ne Stallings Dr Ste 106, Nacogdoches, TX 75965 | 2014-03-25 |
| 1255761813 | Kallie Krawietz | Counselor | 2214 N Pecan Street, Nacogdoches, TX 75965 | 2013-11-19 |
| Find all providers in zip 75965 | ||||
| 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 |
|---|---|---|---|---|
| 1518000561 | Mspf II Nacogdoches Oe Lp | Skilled Nursing Facility | 4616 Ne Stallings Dr, Nacogdoches, TX 75965 | 2007-02-15 |
| 1396787834 | Wt Manor Lp | Skilled Nursing Facility | 3001 Westward Dr, Nacogdoches, TX 75964-1232 | 2006-06-11 |
| 1598726317 | Nexion Health At Oak Manor, Inc. | Skilled Nursing Facility | 1200 Ferguson St, Nacogdoches, TX 75961-4068 | 2006-03-31 |
| 1033183850 | Bmw Healthcare, Inc | Skilled Nursing Facility | 611 Nw Stallings Dr, Nacogdoches, TX 75964-3847 | 2006-02-16 |
| 1760484968 | Cascade Nacogdoches Health Services, Ltd | Skilled Nursing Facility | 227 Russell Blvd, Nacogdoches, TX 75965-1238 | 2005-06-01 |
| 1851938112 | Winnie-stowell Hospital District | Skilled Nursing Facility | 227 Russell Blvd, Nacogdoches, TX 75965-1238 | 2019-12-05 |
| 1568902294 | Nacogdoches County Hospital District | Skilled Nursing Facility | 1204 N Mound St, Nacogdoches, TX 75961-4027 | 2017-02-28 |
| 1669912564 | Nacogdoches County Hospital District | Skilled Nursing Facility | 1204 N Mound St, Nacogdoches, TX 75961-4027 | 2017-02-27 |
| 1285064634 | Old Town Health Care Ltd | Skilled Nursing Facility | 1200 Ferguson St, Nacogdoches, TX 75961-4068 | 2013-11-21 |
| 1679917546 | Jeff D Miller LLC | Skilled Nursing Facility | 401 Se Stallings Dr, Nacogdoches, TX 75964-7204 | 2013-04-23 |
| Find all providers in NACOGDOCHES | ||||
| City | NACOGDOCHES |
| Zip Code | 75965 |
Please comment or provide details below to improve the information on NACOGDOCHES HEALTH CARE CENTER LTD. CO.
| 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.