VICTORIA OF TEXAS LP (NPI# 1265487706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265487706 |
| Entity Type | Organization |
| Organization Name | VICTORIA OF TEXAS LP |
| Other Organization Name | DETAR HEALTHCARE SYSTEM |
| Practice Address |
605 E San Antonio St Victoria TX 77901-6050 |
| Mailing Address |
Po Box 2089 Victoria TX 77902-2089 |
| Practice Telephone | 3615750228 |
| Practice Fax Number | 3615750782 |
| Mailing Telephone | 3615757441 |
| Mailing Fax Number | 3617886114 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2018-04-12 |
| Authorized Official Name | PAULA LALOR (DIRECTOR/DELEGATED OFFICIAL) |
| Authorized Official Telephone | 6159254565 |
| Is Organization Subpart | Y |
| Parent Organization Name | VICTORIA OF TEXAS LP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 000453 | TX | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| DeTar Healthcare System | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851343909 | Victoria of Texas Lp | Clinic/Center | 506 E San Antonio St, Victoria, TX 77901-6060 | 2006-05-17 |
| 1578180725 | Victoria of Texas Lp | Medicare Defined Swing Bed Unit | 506 E San Antonio St, Victoria, TX 77901-6060 | 2020-07-02 |
| 1427338508 | Victoria of Texas Lp | Psychiatric Unit | 101 Medical Dr, Victoria, TX 77904-3102 | 2011-08-22 |
| 1003141128 | Victoria of Texas Lp | General Acute Care Hospital | 506 E San Antonio St, Victoria, TX 77901-6060 | 2009-10-07 |
| 1952636060 | Victoria of Texas Lp | Clinic/Center | 506 E San Antonio St, Victoria, TX 77901-6060 | 2009-10-07 |
| 1740485697 | Victoria of Texas Lp | Emergency Medicine | 101 Medical Dr, Victoria, TX 77904-3102 | 2007-06-20 |
| 1619172467 | Victoria of Texas Lp | Family Medicine | 605 E San Antonio St, Suite 310e, Victoria, TX 77901-6040 | 2007-06-20 |
| 1558453902 | Victoria of Texas Lp | Dietitian, Registered | 506 E San Antonio St, Victoria, TX 77901-6060 | 2006-09-29 |
| 1053366625 | Victoria of Texas Lp | Rehabilitation Unit | 506 E San Antonio St, Victoria, TX 77901-6060 | 2006-05-23 |
| Street Address |
605 E SAN ANTONIO ST |
| City | VICTORIA |
| State | TX |
| Zip Code | 77901-6050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295738730 | Leon Ira Gilner | Neurological Surgery | 605 E San Antonio St, Suite 510e, Victoria, TX 77901-6050 | 2005-05-28 |
| 1588038152 | Michael Dillon Hannasch | Physician Assistant | 605 E San Antonio St, Ste 520e, Victoria, TX 77901-6050 | 2015-11-19 |
| 1902245442 | Laurie Lynn Srubar | Nurse Practitioner | 605 E San Antonio St, Suite 310e, Victoria, TX 77901-6050 | 2013-06-18 |
| 1831537067 | Donald W. Breech, Md, Pa | Orthopaedic Surgery | 605 E San Antonio St, Suite 410e, Victoria, TX 77901-6050 | 2013-06-10 |
| 1124306782 | Rima Diane Garrett | Nurse Practitioner | 605 E San Antonio St, Suite 508e, Victoria, TX 77901-6050 | 2011-08-01 |
| 1043598535 | Kyra Diane Smith | Nurse Practitioner | 605 E San Antonio St, Suite 508e, Victoria, TX 77901-6050 | 2011-08-01 |
| 1952633927 | Paul E Mondolfi, Md, Pa | Plastic Surgery | 605 E San Antonio St, Suite 450 E, Victoria, TX 77901-6040 | 2010-02-02 |
| 1326225848 | Donald W Breech Md Pa | Orthopaedic Surgery | 605 E San Antonio St, Ste 410 E, Victoria, TX 77901-6040 | 2008-01-28 |
| 1720263379 | Donald W. Breech Md Pa | Orthopaedic Surgery | 605 E San Antonio St, Suite 410 E, Victoria, TX 77901-6061 | 2008-01-02 |
| 1619172467 | Victoria of Texas Lp | Family Medicine | 605 E San Antonio St, Suite 310e, Victoria, TX 77901-6040 | 2007-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457962540 | Uc Management Group LLC | Nurse Practitioner | 1908 N Laurent St Ste 410, Victoria, TX 77901 | 2020-08-12 |
| 1558823336 | Uzoma Melissa Obi-nwankwo | Family Medicine | Detar Family Medicine Center, 501 E Colorado St., Victoria, TX 77901 | 2019-04-02 |
| 1871058099 | Still Water Springs | Counselor | 103 East Airline Road, Suite 3, Victoria, TX 77901 | 2019-02-01 |
| 1811488349 | Victoria Np Clinic Pllc | Nurse Practitioner | 606 E. Nueces St, Victoria, TX 77901 | 2018-05-21 |
| 1003324823 | Raul Hernandez | Physical Therapy Assistant | 101 W Goodwin Ave Ste 600, Victoria, TX 77901 | 2018-01-15 |
| 1568916153 | Bdcv / Vpsc Associates, LLC | Dietitian, Registered | 4206 N Ben Jordan Street, Victoria, TX 77901 | 2016-08-11 |
| 1801349535 | James H Jarrett Jr. | Dietitian, Registered | 4206 N. Ben Jordan Street, Victoria, TX 77901 | 2016-07-29 |
| 1508218736 | Philip Henneke | Case Manager/Care Coordinator | 1802 N. Laurent, Victoria, TX 77901 | 2016-07-12 |
| 1194084145 | Kelly E. Rogers | Speech-Language Pathologist | 2903 B. Azalea St., Victoria, TX 77901 | 2012-05-11 |
| 1023393790 | Frederick B Niegos Mdpa | Internal Medicine | 2700 Citizens Plaza, Suite 206, Victoria, TX 77901 | 2011-10-13 |
| Find all providers in zip 77901 | ||||
| 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 |
|---|---|---|---|---|
| 1699105965 | Twin Pines North Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 1301 Mallette Drive, Victoria, TX 77904-3105 | 2013-11-22 |
| 1639419781 | Guadalupe County Hospital Board | Skilled Nursing Facility | 3401 E Airline Rd, Victoria, TX 77901-4551 | 2013-02-27 |
| 1194949685 | Advanced Living Technologies Inc | Skilled Nursing Facility | 114 Medical Dr, Victoria, TX 77904-3101 | 2007-04-13 |
| 1720050255 | Fmsc Victoria Operating Company Lp | Skilled Nursing Facility | 3103 E Airline Rd, Victoria, TX 77901-4546 | 2006-02-07 |
| 1376540377 | Twin Pines Nursing & Rehabiliatation Inc. | Skilled Nursing Facility | 3301 E Mockingbird Ln, Victoria, TX 77904-2437 | 2005-07-05 |
| 1801893037 | Texan Nursing and Rehab of Victoria East LLC | Skilled Nursing Facility | 3401 Airline Drive, Victoria, TX 77901 | 2005-07-01 |
| 1164429601 | Texan Nursing and Rehab of Victoria West | Skilled Nursing Facility | 3007 N Navarro St, Victoria, TX 77901-3921 | 2005-06-30 |
| 1285033670 | Dewitt Medical District | Skilled Nursing Facility | 114 Medical Dr, Victoria, TX 77904-3101 | 2014-08-21 |
| 1073934949 | Citizens Medical Center County of Victoria | Skilled Nursing Facility | 3301 E Mockingbird Ln, Victoria, TX 77904-2437 | 2013-12-19 |
| 1023455201 | Victoria Tx Snf Management LLC | Skilled Nursing Facility | 114 Medical Dr, Victoria, TX 77904-3101 | 2013-05-29 |
| Find all providers in VICTORIA | ||||
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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.