JACK COUNTY HOSPITAL DISTRICT (NPI# 1205239266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205239266 |
| Entity Type | Organization |
| Organization Name | JACK COUNTY HOSPITAL DISTRICT |
| Other Organization Name | HOMESTEAD NURSING AND REHABILITATION OF COLLINSVILLE |
| Practice Address |
501 N Main St Collinsville TX 76233-5106 |
| Mailing Address |
215 Chisholm Trl Jacksboro TX 76458-1403 |
| Practice Telephone | 9034296426 |
| Practice Fax Number | 9034296240 |
| Mailing Telephone | 9405676633 |
| Enumeration Date | 2014-10-06 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | DAWN JONES (FISCAL SERVICES DIRECTOR) |
| Authorized Official Telephone | 9402162262 |
| 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 | 67-5206 | 05 |
| Other Name | Type Code |
|---|---|
| Homestead Nursing and Rehabilitation of Collinsville | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 306 W 7th St, Ft Worth, TX 761024900 | 8173396177 | 8173396178 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790777696 | Jack County Hospital District | Family Medicine | 215 Chisholm Trl, Jacksboro, TX 76458 | 2005-08-17 |
| 1235737008 | Jack County Hospital District | Clinic/Center | 1005 State Highway 16 S, Graham, TX 76450-3835 | 2020-10-14 |
| 1831674209 | Jack County Hospital District | Clinic/Center | 115 E Bypass 287, Alvord, TX 76225-7778 | 2018-10-01 |
| 1417489956 | Jack County Hospital District | Clinic/Center | 1010 N Mill St, Bowie, TX 76230-3120 | 2017-04-03 |
| 1316341407 | Jack County Hospital District | Skilled Nursing Facility | 3301 View St, Fort Worth, TX 76103-2425 | 2014-10-17 |
| 1376977017 | Jack County Hospital District | Skilled Nursing Facility | 405 Duncan Perry Rd, Arlington, TX 76011-5412 | 2013-08-29 |
| 1790865293 | Jack County Hospital District | Medicare Defined Swing Bed Unit | 215 Chisholm Trl, Jacksboro, TX 76458-1403 | 2006-10-17 |
| 1336237890 | Jack County Hospital District | Ambulance | 717 Magnolia St, Jacksboro, TX 76458-1111 | 2006-10-10 |
| 1154419612 | Jack County Hospital District | Clinic/Center | 215 Chisholm Trl, Jacksboro, TX 76458-1403 | 2006-10-10 |
| 1396798583 | Jack County Hospital District | Skilled Nursing Facility | 211 E Jasper St, Jacksboro, TX 76458-1848 | 2006-05-18 |
| Street Address |
501 N MAIN ST |
| City | COLLINSVILLE |
| State | TX |
| Zip Code | 76233-5106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487136271 | Amy Sue Haverkamp | Occupational Therapy Assistant | 501 N Main St, Collinsville, TX 76233-5106 | 2018-08-29 |
| 1487892816 | Amy Reanee Mcmillon | Occupational Therapist | 501 N Main St, Collinsville, TX 76233-5106 | 2009-01-22 |
| 1710130703 | Patricia Louise Schmidt | Occupational Therapist | 501 N Main St, Collinsville, TX 76233-5106 | 2008-11-04 |
| 1922202357 | Collinsville Long Term Care, LLC | Skilled Nursing Facility | 501 N Main St, Collinsville, TX 76233-5106 | 2007-06-11 |
| 1568528560 | Pyramid Healthcare Corp. | Skilled Nursing Facility | 501 N Main St, Collinsville, TX 76233-5106 | 2006-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013531060 | Lisa Marie Smith | Student in an Organized Health Care Education/Training Program | 1465 County Road 232, Collinsville, TX 76233 | 2020-06-05 |
| 1376042549 | Anna D Diggs | Social Worker | 646 Cr 226, Denton, TX 76233 | 2018-02-02 |
| 1033752084 | Twd Rx LLC | Pharmacy | 9785 Us Highway 377 S Ste 101, Collinsville, TX 76233-1105 | 2019-10-22 |
| 1013550656 | Willie Bobby Payne Jr. | Pharmacist | 9785 Us Highway 377 S Ste 101, Collinsville, TX 76233-1105 | 2019-10-27 |
| 1790995223 | Julie Stewart | Specialist | 1433 Welch School Rd., Collinsville, TX 76233-1433 | 2007-05-23 |
| 1164502928 | Julie Ann Stewart | Physical Therapist | 1433 Welch School Rd, Collinsville, TX 76233-1433 | 2006-10-16 |
| 1497187157 | Karan Marie Kershner | Nutritionist | 124 Amy Ct, Collinsville, TX 76233-5413 | 2013-08-05 |
| 1114427879 | Jill Marie Trahan | Licensed Vocational Nurse | 103 Kristen Ct # 2, Collinsville, TX 76233-5442 | 2018-02-19 |
| 1861005878 | Deana Rae Williams | Nurse Practitioner | 306 Denton Ct, Collinsville, TX 76233-9700 | 2020-08-28 |
| 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 |
|---|---|---|---|---|
| 1265532022 | Collinsville Hco, LLC | Skilled Nursing Facility | 614 N Summit Ave, Collinsville, IL 62234 | 2006-09-22 |
| 1467406298 | Collinsville Nursing Home, Inc | Skilled Nursing Facility | 685 North Valley Ave, Collinsville, AL 35961 | 2006-05-19 |
| 1447883608 | Collinsville Hco, LLC | Skilled Nursing Facility | 614 Summit Ave, Collinsville, IL 62234-3728 | 2020-02-17 |
| 1720506702 | City of Sapulpa | Skilled Nursing Facility | 2300 W Broadway St, Collinsville, OK 74021-1625 | 2017-08-30 |
| 1518300292 | New Horizons, Inc. | Skilled Nursing Facility | 102 Dyer Ave, Collinsville, CT 06019-3236 | 2013-04-11 |
| 1538400452 | North County Senior Living, LLC | Skilled Nursing Facility | 2300 W Broadway St, Collinsville, OK 74021-1625 | 2013-03-04 |
| 1922202357 | Collinsville Long Term Care, LLC | Skilled Nursing Facility | 501 N Main St, Collinsville, TX 76233-5106 | 2007-06-11 |
| 1134345168 | First Caremerica | Skilled Nursing Facility | 614 N Summit Ave, Collinsville, IL 62034 | 2007-04-18 |
| 1568528560 | Pyramid Healthcare Corp. | Skilled Nursing Facility | 501 N Main St, Collinsville, TX 76233-5106 | 2006-12-28 |
| 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 | ||||
| City | COLLINSVILLE |
| Zip Code | 76233 |
Please comment or provide details below to improve the information on JACK COUNTY HOSPITAL DISTRICT.
| 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.