ODESSA II ENTERPRISES, LLC (NPI# 1285272922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285272922 |
| Entity Type | Organization |
| Organization Name | ODESSA II ENTERPRISES, LLC |
| Practice Address |
1020 N County Rd W Odessa TX 79763-3436 |
| Mailing Address |
4150 International Plz Ste 600 Fort Worth TX 76109-4831 |
| Practice Telephone | 4323320371 |
| Practice Fax Number | 8173480466 |
| Mailing Telephone | 4323320371 |
| Mailing Fax Number | 8173480466 |
| Enumeration Date | 2019-12-12 |
| Last Update Date | 2019-12-12 |
| Authorized Official Name | GARY BLAKE (MANAGING MEMBER) |
| Authorized Official Telephone | 8173488959 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Deerings Nursing and Rehabilitation | Doing Business As Name - Organization |
| Street Address |
1020 N COUNTY RD W |
| City | ODESSA |
| State | TX |
| Zip Code | 79763-3436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922095413 | Deerings Nursing and Rehabilitation Lp | Skilled Nursing Facility | 1020 N County Rd W, Odessa, TX 79763-3436 | 2005-09-30 |
| 1992288336 | Ruben Esequiel Sanchez | Physical Therapy Assistant | 1020 N County Rd W, Odessa, TX 79763-3436 | 2018-09-12 |
| 1235612615 | Carrie Elizabeth Furrow | Occupational Therapy Assistant | 1020 N County Rd W, Odessa, TX 79763-3436 | 2018-09-11 |
| 1053893941 | Emily Brickey | Speech-Language Pathologist | 1020 N County Rd W, Odessa, TX 79763-3436 | 2018-09-06 |
| 1083196299 | Emmanuel Enverga | Physical Therapist | 1020 N County Rd W, Odessa, TX 79763-3436 | 2018-09-04 |
| 1902212509 | Sadaf Assani | Podiatrist | 1020 N County Rd W, Odessa, TX 79763-3436 | 2014-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164885 | Mary Ewusie | Pharmacist | 2450 West Loop 3378, Odessa, TX 79763 | 2020-11-03 |
| 1982231569 | Yashica Patel | Student in an Organized Health Care Education/Training Program | 701 W. 5th St, Suite 1229, Odessa, TX 79763 | 2020-03-24 |
| 1144740457 | Devi Priya Suravajjala | Student in an Organized Health Care Education/Training Program | 701,w 5th Street, Odessa, TX 79763 | 2017-06-27 |
| 1649640392 | Elesea Celeste Villegas | Physician Assistant | 701 West 5th Street, Odessa, TX 79763 | 2015-10-06 |
| 1790046472 | Kathryn Nichole Hutton | Obstetrics & Gynecology | 701 W 5th Street, Odessa, TX 79763 | 2012-05-30 |
| 1962761791 | Marvin Ryan Harvey | Family Medicine | 701 W 5th St Ste 3174, Odessa, TX 79763 | 2012-05-14 |
| 1245529544 | Yvette Garcia | Counselor | 1012 W Macarthur, Odessa, TX 79763 | 2011-04-07 |
| 1386973873 | Patty Denise Pena | Pharmacist | 1305 W County Rd, Odessa, TX 79763 | 2009-12-14 |
| 1508002262 | Javier E Espinoza | Physician Assistant | 1220 W. University, Odessa, TX 79763 | 2008-12-31 |
| 1952584690 | J A Mayans Md Pa | Ophthalmology | 907 W Second St, Odessa, TX 79763 | 2007-12-17 |
| Find all providers in zip 79763 | ||||
| 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 |
|---|---|---|---|---|
| 1780035667 | Brent Edward Lawler Sr. | Skilled Nursing Facility | 2508 Adams Ave, Odessa, TX 79761-1349 | 2016-06-22 |
| 1104269448 | Uptown Fs, LLC | Skilled Nursing Facility | 5001 Office Park, Odessa, TX 79762 | 2013-04-16 |
| 1306897806 | Ggnsc Odessa LLC | Skilled Nursing Facility | 609 Golf St, Odessa, MO 64076-1462 | 2006-05-12 |
| 1134107683 | Buena Vida Health Services, Inc. | Skilled Nursing Facility | 3800 Englewood Ln, Odessa, TX 79762-7073 | 2006-01-05 |
| 1922095413 | Deerings Nursing and Rehabilitation Lp | Skilled Nursing Facility | 1020 N County Rd W, Odessa, TX 79763-3436 | 2005-09-30 |
| 1013903889 | Sienna Nursing and Rehabilitation Lp | Skilled Nursing Facility | 2510 W 8th St, Odessa, TX 79763-3618 | 2005-09-27 |
| 1619515350 | Odessa IIi Enterprises, LLC | Skilled Nursing Facility | 2510 W 8th St, Odessa, TX 79763-3618 | 2019-12-12 |
| 1770143521 | Odessa I Enterprises, LLC | Skilled Nursing Facility | 3800 Englewood Ln, Odessa, TX 79762-7073 | 2019-06-14 |
| 1225554421 | Fpacp Odessa LLC | Skilled Nursing Facility | 2443 W 16th St, Odessa, TX 79763-2701 | 2017-08-18 |
| 1710432877 | Midland County Hospital District | Skilled Nursing Facility | 2443 W 16th St, Odessa, TX 79763-2701 | 2016-08-18 |
| Find all providers in ODESSA | ||||
Please comment or provide details below to improve the information on ODESSA II ENTERPRISES, LLC.
| 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.