HOME FOR AGED MASONS CLINIC NURSING CENTER (NPI# 1316072192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316072192 |
| Entity Type | Organization |
| Organization Name | HOME FOR AGED MASONS CLINIC NURSING CENTER |
| Other Organization Name | TEXAS MASONIC RETIREMENT CENTER |
| Practice Address |
1501 W Division St Arlington TX 76012-3818 |
| Practice Telephone | 8172752893 |
| Practice Fax Number | 8172751065 |
| Mailing Telephone | 8172752893 |
| Mailing Fax Number | 8172751065 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. KIRBY RUDISILL (ADMINISTRATOR) |
| Authorized Official Telephone | 8172752893 |
| Authorized Official Credential | ADMINISTRATOR |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 0237 | TX | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Texas Masonic Retirement Center | Doing Business As Name - Organization |
| Street Address |
1501 W DIVISION ST |
| City | ARLINGTON |
| State | TX |
| Zip Code | 76012-3818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366073736 | Britney Beard | Counselor | 715 N Fielder Rd Ste A, Arlington, TX 76012 | 2020-02-04 |
| 1932762531 | Devin Austin Deloe | Speech-Language Pathologist | Arlington Villas, 2601 W Randol Mill Rd., Arlington, TX 76012 | 2019-04-18 |
| 1275000135 | Soh of Texas Samson Liu Pllc | Dentist | 1625 Pecan Dr, Arlington, TX 76012 | 2018-10-30 |
| 1295200749 | Eness, Inc. | In Home Supportive Care | 1321 West Randol Mill Road, #108, Arlington, TX 76012 | 2018-10-11 |
| 1073967626 | Maya Alex Kuriakose | Obstetrics & Gynecology | 1001 N. Waldrop, Suite 505, Arlington, TX 76012 | 2016-04-20 |
| 1710359971 | Amir Izaddoust | Dentist | 723 N. Fielder Rd, Suite E, Dallas, TX 76012 | 2015-10-28 |
| 1639553738 | Alicia Rider | Specialist/Technologist | 1507 Cherokee Szt, Arlington, TX 76012 | 2015-07-17 |
| 1508274614 | Neurodiagnostic Consultants, L.L.C. | Specialist | 1102 Orchard Drive, Arlington, TX 76012 | 2014-08-01 |
| 1578974663 | Lan Ngoc Nguyen, Pharm.d.,,llc | Pharmacy | 1102 Orchard Dr., Suite B, Arlington, TX 76012 | 2014-05-12 |
| 1871854471 | Takeisha Jones | Occupational Therapy Assistant | 532 Claire Ct, Arlington, TX 76012 | 2012-05-31 |
| Find all providers in zip 76012 | ||||
| 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 |
|---|---|---|---|---|
| 1598138968 | Consonus | Skilled Nursing Facility | 5102 Haddonstone Dr, Arlington, TX 76017-1890 | 2015-11-07 |
| 1952773830 | Op Ops Arl Tx, LLC | Skilled Nursing Facility | 800 W Randol Mill Rd Fl 6, Arlington, TX 76012-2504 | 2015-10-30 |
| 1336427129 | Green Oaks Scc LLC | Skilled Nursing Facility | 3033 W Green Oaks Blvd, Arlington, TX 76016-2261 | 2011-07-27 |
| 1275773996 | Genesis Health Care | Skilled Nursing Facility | 101 E Randol Mill Rd Ste 100, Arlington, TX 76011-5800 | 2009-02-21 |
| 1477674968 | Fannin County Hospital Authority | Skilled Nursing Facility | 2645 W Randol Mill Rd, Arlington, TX 76012-4228 | 2007-04-02 |
| 1275652604 | Cascade-tarrant Health Services, Ltd | Skilled Nursing Facility | 7100 Matlock Rd, Arlington, TX 76002-3346 | 2007-03-28 |
| 1215071832 | Mspf II Arlington Oe, L.p. | Skilled Nursing Facility | 3033 West Green Oaks Blvd, Arlington, TX 76016 | 2007-02-16 |
| 1538246285 | Town Hall Estates Arlington Inc | Skilled Nursing Facility | 824 W Mayfield Rd, Arlington, TX 76015-3647 | 2006-11-01 |
| 1043307226 | Thi of Texas At Arlington II, LLC | Skilled Nursing Facility | 1112 Gibbins Rd, Arlington, TX 76011-5618 | 2006-10-07 |
| 1710990825 | Mfa Xi - Cherrydale | Skilled Nursing Facility | 3710 Lee Hwy, Arlington, VA 22207-3721 | 2006-08-14 |
| Find all providers in ARLINGTON | ||||
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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.