SOUTHWEST LTC ATHENS LTD (NPI# 1225022122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225022122 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST LTC ATHENS LTD |
| Other Organization Name | GREEN OAKS NURSING CENTER |
| Practice Address |
500 Valle Vista Dr Athens TX 75751-2760 |
| Mailing Address |
17760 Preston Rd Suite 310 Dallas TX 75252-5663 |
| Practice Telephone | 9036773434 |
| Practice Fax Number | 9036775547 |
| Mailing Telephone | 4699166100 |
| Mailing Fax Number | 4699166105 |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | RONALD R PAYNE (CEO) |
| Authorized Official Telephone | 4699166100 |
| Authorized Official Credential | ESQ. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 113644 | TX | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Green Oaks Nursing Center | Doing Business As Name - Organization |
| Street Address |
500 VALLE VISTA DR |
| City | ATHENS |
| State | TX |
| Zip Code | 75751-2760 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639650955 | Matthew Sullivan | Occupational Therapy Assistant | 500 Valle Vista Dr, Athens, TX 75751-2760 | 2018-08-24 |
| 1407336142 | Maricel Secapure Chua | Physical Therapist | 500 Valle Vista Dr, Athens, TX 75751-2760 | 2018-08-21 |
| 1891049466 | Green Oaks Snf LLC | Skilled Nursing Facility | 500 Valle Vista Dr, Athens, TX 75751-2760 | 2012-11-05 |
| 1518180504 | Diana B Graumlich | Nurse Practitioner | 500 Valle Vista Dr, Athens, TX 75751-2760 | 2007-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700414810 | Morghan Jungman | Physical Therapy Assistant | 6444 South Palestine St, Athens, TX 75751 | 2020-04-01 |
| 1497313340 | Rebecca Lynne Moehlenbrock | Physical Therapy Assistant | 711 Lucas Dr., Athens, TX 75751 | 2019-06-04 |
| 1013487669 | Jammie Jae Chaney | Licensed Vocational Nurse | 207 Colonial Circle, Athens, TX 75751 | 2018-11-27 |
| 1215423397 | Valarie M Chambless | Registered Nurse | 1505 Hwy. 19 South, Athens, TX 75751 | 2018-07-02 |
| 1609378181 | Jennifer Lynn Griffith | Occupational Therapist | 907 S Palenstine St., Athens, TX 75751 | 2018-03-01 |
| 1285931832 | Leonard J Barbarisi | Surgery | 6444 S Palestine, Athens, TX 75751 | 2011-02-17 |
| 1801123104 | Paul J Michiels | Family Medicine | 5313 Fm 2494, Athens, TX 75751 | 2009-11-06 |
| 1851527550 | Jordan Risinger | Dentist | 800 S. Palestine St., Athens, TX 75751 | 2009-06-08 |
| 1306005798 | Shawn Tai | Internal Medicine | 115 Medical Cir Ste 106, Athens, TX 75751 | 2008-06-02 |
| 1083730683 | Assisted Living Concepts Inc | Assisted Living Facility | 213 Cayuga Drive, Athens, TX 75751 | 2007-03-22 |
| Find all providers in zip 75751 | ||||
| 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 |
|---|---|---|---|---|
| 1255966081 | Westminster Presbyterian Homes, Inc. | Skilled Nursing Facility | 1400 Live Oak Ln, Building 100, Athens, GA 30606 | 2020-03-12 |
| 1780124594 | Coryell County Memorial Hospital Authority | Skilled Nursing Facility | 121 Commons, Athens, TX 75751-0009 | 2017-02-27 |
| 1033405170 | Athens Ltc, Inc | Skilled Nursing Facility | 70 Circle Drive, Athens, OH 45701 | 2011-06-28 |
| 1710008263 | Fannin County Hospital Authority | Skilled Nursing Facility | 711 Lucas Dr, Athens, TX 75751-3445 | 2007-04-03 |
| 1609916519 | Kimes Convalescent Center, Ltd | Skilled Nursing Facility | 75 Kimes Ln, Athens, OH 45701-3801 | 2007-02-08 |
| 1851310940 | Forum Green, Inc. | Skilled Nursing Facility | 1600 West Hobbs Street, Athens, AL 35611 | 2006-07-19 |
| 1295777894 | Life Care Centers of America, Inc. | Skilled Nursing Facility | 1234 Frye St, Athens, TN 37303-3052 | 2006-06-11 |
| 1417904939 | Pruitthealth - Grandview, LLC | Skilled Nursing Facility | 165 Winston Drive, Athens, GA 30607-1123 | 2006-05-29 |
| 1932156072 | The Oaks - Athens Skilled Nursing, LLC | Skilled Nursing Facility | 490 Kathwood Dr, Athens, GA 30607-1132 | 2006-05-27 |
| 1316993769 | Pruitthealth - Athens Heritage LLC | Skilled Nursing Facility | 960 Hawthorne Ave, Athens, GA 30606-2140 | 2006-05-26 |
| Find all providers in ATHENS | ||||
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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.