DEWITT MEDICAL DISTRICT (NPI# 1285033670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285033670 |
| Entity Type | Organization |
| Organization Name | DEWITT MEDICAL DISTRICT |
| Other Organization Name | VICTORIA RESIDENCE AND REHABILITATION CENTER |
| Practice Address |
114 Medical Dr Victoria TX 77904-3101 |
| Practice Telephone | 3615766128 |
| Practice Fax Number | 3615766563 |
| Mailing Telephone | 3615766128 |
| Mailing Fax Number | 3615766563 |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2014-08-21 |
| Authorized Official Name | GREG PRITCHETT (CFO) |
| Authorized Official Telephone | 3612750504 |
| 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 | 005209 | 05 |
| Other Name | Type Code |
|---|---|
| VICTORIA RESIDENCE AND REHABILITATION CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811357155 | Dewitt Medical District | Skilled Nursing Facility | 222 Bertetti Dr, San Antonio, TX 78227-3950 | 2016-02-29 |
| 1932596343 | Dewitt Medical District | Nursing Facility/Intermediate Care Facility | 4162 Wildcat Dr, Corpus Christi, TX 78410-5100 | 2015-04-23 |
| 1396144770 | Dewitt Medical District | Skilled Nursing Facility | 710 Highway 359 S, Brookshire, TX 77423 | 2014-08-21 |
| 1851629430 | Dewitt Medical District | Durable Medical Equipment & Medical Supplies | 5301 W Duval Rd, Austin, TX 78727-6618 | 2009-11-19 |
| 1396789491 | Dewitt Medical District | Skilled Nursing Facility | 208 Maple Street, Luling, TX 78648 | 2006-06-16 |
| 1861442469 | Dewitt Medical District | Nursing Facility/Intermediate Care Facility | 2735 Airline Road, Corpus Christi, TX 78414 | 2006-05-12 |
| 1841254174 | Dewitt Medical District | Nursing Facility/Intermediate Care Facility | 3130 S Brahma Blvd, Kingsville, TX 78363-7257 | 2006-04-13 |
| 1558331421 | Dewitt Medical District | Home Health | 615 N Esplanade St, Cuero, TX 77954 | 2006-01-24 |
| 1235671629 | Dewitt Medical District | Skilled Nursing Facility | 2 Towers Park Ln, San Antonio, TX 78209-6410 | 2016-11-16 |
| 1396296521 | Dewitt Medical District | Durable Medical Equipment & Medical Supplies | 2550 N Esplanade St, Cuero, TX 77954-4736 | 2016-10-24 |
| Street Address |
114 MEDICAL DR |
| City | VICTORIA |
| State | TX |
| Zip Code | 77904-3101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194949685 | Advanced Living Technologies Inc | Skilled Nursing Facility | 114 Medical Dr, Victoria, TX 77904-3101 | 2007-04-13 |
| 1023455201 | Victoria Tx Snf Management LLC | Skilled Nursing Facility | 114 Medical Dr, Victoria, TX 77904-3101 | 2013-05-29 |
| 1861731028 | Celeste Potter Rowan | Occupational Therapy Assistant | 114 Medical Dr, Victoria, TX 77904-3101 | 2013-02-07 |
| 1225353857 | Danette Randall | Physical Therapist | 114 Medical Dr, Victoria, TX 77904-3101 | 2010-04-07 |
| 1437473485 | Jill Annette Zbranek | Occupational Therapist | 114 Medical Dr, Victoria, TX 77904-3101 | 2010-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528600384 | Bertha P Mendieta | Physician Assistant | Citizens Victoria Surgical Associates, 2705 Hospital Drive Suite 400, Building B, Victoria, TX 77904 | 2019-10-14 |
| 1952968901 | Eliza Welder | Counselor | 6502 Nursery Dr. Suite, Suite 100, Victoria, TX 77904 | 2019-05-24 |
| 1154806529 | Tammy Lynn Hogan | Counselor | 4702 N. Laurent Ste D, Victoria, TX 77904 | 2018-10-01 |
| 1740724939 | Sarah Ritchea | Counselor | 6502 Nursery Dr. Suite 100, Victoria, TX 77904 | 2016-12-07 |
| 1992177489 | World of Words Speech & Feeding Services, LLC | Speech-Language Pathologist | 120 Appaloosa Dr., Victoria, TX 77904 | 2015-10-23 |
| 1396115739 | Katelin Mcvey | Physician Assistant | 106 Springwood Drive, Suite 100, Victoria, TX 77904 | 2015-09-28 |
| 1689070062 | Jeremy M Thompson Dds Ms Pllc | Clinic/Center | 103 Professional Park Driv, Victoria, TX 77904 | 2014-11-12 |
| 1265864144 | Pf Development 23, LLC | Hospice Care, Community Based | 1501 E Mockingbird Ln Ste 301b, Victoria, TX 77904 | 2013-08-02 |
| 1053669762 | Victoria Dentistry, Pllc | Dentist | 8809 North Navarro, Ste.100, Victoria, TX 77904 | 2012-08-28 |
| 1508126442 | Ayo Adu, M.d., Pllc | Family Medicine | 9410 Ne Zac Lentz Parkway, Suite 200, Victoria, TX 77904 | 2012-05-25 |
| Find all providers in zip 77904 | ||||
| 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 |
| 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 |
| 1518207638 | Spring Creek Healthcare, Inc. | Skilled Nursing Facility | 3007 N Navarro St, Victoria, TX 77901-3921 | 2013-02-26 |
| 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.