MSHC THE WATERTON AT COWHORN CREEK, LLC (NPI# 1255497137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255497137 |
| Entity Type | Organization |
| Organization Name | MSHC THE WATERTON AT COWHORN CREEK, LLC |
| Practice Address |
5524 Cowhorn Creek Rd Texarkana TX 75503-9101 |
| Mailing Address |
1901 Rickety Ln Ste 208 Tyler TX 75703-1703 |
| Practice Telephone | 9032281188 |
| Practice Fax Number | 9038381229 |
| Mailing Telephone | 9035348667 |
| Mailing Fax Number | 9035090026 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2010-09-13 |
| Authorized Official Name | CARLA POWER (CFO) |
| Authorized Official Telephone | 9035348667 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 115905 | TX | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 001013766 | 05 |
| Street Address |
5524 COWHORN CREEK RD |
| City | TEXARKANA |
| State | TX |
| Zip Code | 75503-9101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164086286 | Julie Janeen Buie | Occupational Therapy Assistant | 5524 Cowhorn Creek Rd, Texarkana, TX 75503-9101 | 2019-04-24 |
| 1598221442 | City of Ennis | Skilled Nursing Facility | 5524 Cowhorn Creek Rd, Texarkana, TX 75503-9101 | 2019-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770049397 | Jeffery Nash | Nurse Practitioner | #4 Valley View Circle, Texarkana, TX 75503 | 2019-02-19 |
| 1821583501 | Brandy D Acker | Psychologist | 3615 Richmond Rd, Texarkana, TX 75503 | 2018-06-26 |
| 1366935066 | Samantha Lee Harris | Nurse Practitioner | 4116 Mcknight Rd, Texarkana, TX 75503 | 2018-06-07 |
| 1811416910 | Heather Alison Gerber | Nurse Practitioner | 5903 Brenda Street, Texarkana, TX 75503 | 2017-09-11 |
| 1952838682 | John Kyle Abney | Counselor | 4134 Mcknight Rd, Texarkana, TX 75503 | 2017-05-12 |
| 1699151514 | Piney Woods Er IIi LLC | Clinic/Center | 4102 Gibson Lane, Texarkana, TX 75503 | 2015-08-03 |
| 1609282433 | Colby Rebecca Pair | Physician Assistant | 2604 St. Michael Dr., Suite 310, Texarkana, TX 75503 | 2014-07-01 |
| 1265842496 | Healthcare Express, LLP | Clinic/Center | 3513 Richmond Rd, Texarkana, TX 75503 | 2014-04-28 |
| 1134540628 | Eagle Dental Center of Texarkana Pllc | Dentist | 4009 Moores Ln, Texarkana, TX 75503 | 2013-12-30 |
| 1326481664 | Juancarlo S. Pascual | Family Medicine | 604 St. Michael Dr, Suite 340, Texarkana, TX 75503 | 2013-04-16 |
| Find all providers in zip 75503 | ||||
| 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 |
|---|---|---|---|---|
| 1265520167 | Medicalodges, Inc. | Skilled Nursing Facility | 1621 E 42nd St, Texarkana, AR 71854-1654 | 2006-10-10 |
| 1780629279 | Hms Holdings At Texarkana LLC | Skilled Nursing Facility | 1008 Citizens Trail, Texarkana, TX 75501-5884 | 2006-06-18 |
| 1073589339 | Linrock Investments, LLC | Skilled Nursing Facility | 1100 E 36th St, Texarkana, AR 71854-2215 | 2006-02-27 |
| 1689662488 | Texarkana Elder Services, Inc. Dba Edgewood Manor Nursing Home | Skilled Nursing Facility | 4925 Elizabeth St, Texarkana, TX 75503-2911 | 2005-10-06 |
| 1609862317 | Anr1-llc | Skilled Nursing Facility | 2107 Dudley St, Texarkana, AR 71854-6345 | 2005-09-27 |
| 1790779452 | Fannin County Hospital Authority | Skilled Nursing Facility | 1401 Hampton Rd, Texarkana, TX 75503-4600 | 2005-09-08 |
| 1134113947 | Fannin County Hospital Authority | Skilled Nursing Facility | 600 W 52nd St, Texarkana, TX 75503-2980 | 2005-09-07 |
| 1154962074 | Loh Texarkana Edgewood LLC | Skilled Nursing Facility | 4925 Elizabeth St, Texarkana, TX 75503-2911 | 2019-10-02 |
| 1396307013 | Texarkana Snf Operations LLC | Skilled Nursing Facility | 1100 E 36th St, Texarkana, AR 71854-2215 | 2019-07-02 |
| 1598221442 | City of Ennis | Skilled Nursing Facility | 5524 Cowhorn Creek Rd, Texarkana, TX 75503-9101 | 2019-02-15 |
| Find all providers in TEXARKANA | ||||
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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.