LEGEND GREENVILLE HEALTHCARE, LLC (NPI# 1215038278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215038278 |
| Entity Type | Organization |
| Organization Name | LEGEND GREENVILLE HEALTHCARE, LLC |
| Other Organization Name | LEGEND HEALTHCARE AND REHABILITATION - GREENVILLE |
| Practice Address |
2300 Jack Finney Blvd Greenville TX 75402-3763 |
| Mailing Address |
1390 E Bitters Rd San Antonio TX 78216-2914 |
| Practice Telephone | 9034557942 |
| Practice Fax Number | 9034550472 |
| Mailing Telephone | 2105640100 |
| Mailing Fax Number | 2105640157 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2015-03-25 |
| Authorized Official Name | MARTIN TOMERLIN (PRESIDENT) |
| Authorized Official Telephone | 2105640100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 4887 | TX | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 001004084 | 05 |
| Other Name | Type Code |
|---|---|
| Legend Healthcare and Rehabilitation - Greenville | Doing Business As Name - Organization |
| Street Address |
2300 JACK FINNEY BLVD |
| City | GREENVILLE |
| State | TX |
| Zip Code | 75402-3763 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881259398 | Sarah Jean Hodge | Occupational Therapy Assistant | 2300 Jack Finney Blvd, Greenville, TX 75402-3763 | 2019-05-09 |
| 1114388089 | Fannin County Hospital Authority | Skilled Nursing Facility | 2300 Jack Finney Blvd, Greenville, TX 75402-3763 | 2016-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275159758 | Hunt's Pharma Rx LLC | Pharmacy | 2934 W Interstate 30, Suite A, Greenville, TX 75402 | 2020-06-22 |
| 1639709421 | Family First Home Health and Hospice, LLC | Hospice Care, Community Based | 2824 Terrell Road, Suite 402, Greenville, TX 75402 | 2020-01-21 |
| 1346713658 | Europa Enterprise LLC | Pharmacy | 2394 W Interstate 30 Ste A, Greenville, TX 75402 | 2019-01-09 |
| 1043728975 | Adam Tyler Barnes, Dds of Texas II, Pllc | Dentist | 3103 I-30 Frontage Rd, Greenville, TX 75402 | 2018-01-12 |
| 1023521721 | Jennifer Carter | Nurse Practitioner | 4221 Ridgecrest, Suite 103, Greenville, TX 75402 | 2017-11-16 |
| 1669914370 | Arnela Ibrahimovic | Nurse Practitioner | 4400 I 30 W Ste 100, Greenville, TX 75402 | 2016-11-11 |
| 1114471950 | Family First Home Health, LLC | Home Health | 2824 Terrell Rd Ste 402, Greenville, TX 75402 | 2016-08-10 |
| 1669835872 | Lauren Matewe | Nurse Practitioner | 5005 Live Oak, Greenville, TX 75402 | 2016-04-04 |
| 1003209636 | Billy Don Mitchell | Family Medicine | 3080 Cr 3115, Billy Don Mitchell M.d., Greenville, TX 75402 | 2015-03-06 |
| 1336556752 | Karly Calender | Specialist/Technologist | 6801 Highland Oak Ct, Greenville, TX 75402 | 2014-07-17 |
| Find all providers in zip 75402 | ||||
| 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 |
|---|---|---|---|---|
| 1437673456 | 13455 Golden LLC | Skilled Nursing Facility | 13455 West Highway 90, Greenville, FL 32331 | 2017-08-01 |
| 1710348305 | Maybrook-c Whitecliff Opco LLC | Skilled Nursing Facility | 110 Fredonia Road, Greenville, PA 16125-7911 | 2016-03-10 |
| 1154792000 | East Carolina Rehab and Wellness, LLC | Skilled Nursing Facility | 2575 W 5th St, Greenville, NC 27834-7813 | 2015-10-16 |
| 1972932879 | Crosswinds Rehab | Skilled Nursing Facility | 13455 W Us Hwy 90, Greenville, FL 32331 | 2013-11-01 |
| 1427484195 | Greenville Nursing and Rehabilitation, LLC | Skilled Nursing Facility | 117 Sycamore Street, Greenville, MO 63944-0108 | 2013-09-25 |
| 1255778064 | Providence Home Care LLC | Skilled Nursing Facility | 128 Millport Cir, Suite 200, Greenville, SC 29607-5571 | 2013-06-03 |
| 1548572894 | Patewood Rehabilitation and Healthcare Center, LLC | Skilled Nursing Facility | 2 Griffith Rd., Greenville, SC 29607-3503 | 2010-07-01 |
| 1952530867 | Upstate Senior Living, Inc. | Skilled Nursing Facility | 50 Arboretum Way, Greenville, SC 29617-6226 | 2009-07-13 |
| 1225276736 | 13455 Management LLC | Skilled Nursing Facility | 13455 West Us Highway 90, Greenville, FL 32331 | 2009-01-22 |
| 1285879437 | Benchmark Healthcare of Greenville, LLC | Skilled Nursing Facility | 108 Sycamore St, Greenville, MO 63944-0108 | 2008-12-02 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 75402 |
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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.