LIBERTY COUNTY HOSPITAL DISTRICT NO. 1 (NPI# 1326032186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326032186 |
| Entity Type | Organization |
| Organization Name | LIBERTY COUNTY HOSPITAL DISTRICT NO. 1 |
| Other Organization Name | PINE GROVE NURSING CENTER |
| Practice Address |
246 Haley Dr Center TX 75935-9798 |
| Mailing Address |
1500 Waters Ridge Dr Suite 200 Lewisville TX 75057-6011 |
| Practice Telephone | 9365986286 |
| Practice Fax Number | 9365986464 |
| Mailing Telephone | 9728994401 |
| Mailing Fax Number | 9728994460 |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2017-02-17 |
| Authorized Official Name | C BRUCE STRATTON (BOARD PRESIDENT) |
| Authorized Official Telephone | 9363367400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 115789 | TX | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICAID CO B | 153792001 | 01 |
| TX | 001003354 | 05 |
| Other Name | Type Code |
|---|---|
| Pine Grove Nursing Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144769563 | Liberty County Hospital District No. 1 | Skilled Nursing Facility | 624 Fannin St, Liberty, TX 77575-4916 | 2017-02-17 |
| 1811358229 | Liberty County Hospital District No. 1 | Skilled Nursing Facility | 8902 West Rd, Houston, TX 77064-8635 | 2016-03-11 |
| 1922260876 | Liberty County Hospital District No. 1 | Nursing Facility/Intermediate Care Facility | 3840 Pointe Pkwy, Beaumont, TX 77706-2000 | 2008-07-01 |
| 1962496836 | Liberty County Hospital District No. 1 | Skilled Nursing Facility | 1203 Fm 1277, San Augustine, TX 75972-1635 | 2005-09-07 |
| 1639163595 | Liberty County Hospital District No. 1 | Skilled Nursing Facility | 4054 Nw Loop, Carthage, TX 75633-3346 | 2005-09-07 |
| 1457859589 | Liberty County Hospital District No. 1 | Skilled Nursing Facility | 2212 W Reagan St, Palestine, TX 75801-2222 | 2018-01-23 |
| 1487195095 | Liberty County Hospital District No. 1 | Skilled Nursing Facility | 624 Fannin St, Liberty, TX 77575-4916 | 2017-03-15 |
| 1871032292 | Liberty County Hospital District No. 1 | Skilled Nursing Facility | 624 Fannin St, Liberty, TX 77575-4916 | 2017-02-17 |
| 1912352766 | Liberty County Hospital District No. 1 | Skilled Nursing Facility | 1720 N Logan St, Texas City, TX 77590-4931 | 2016-04-29 |
| 1811371701 | Liberty County Hospital District No. 1 | Medicare Defined Swing Bed Unit | 1353 N Travis St, Liberty, TX 77575-3549 | 2015-07-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LIBERTY COUNTY HOSPITAL DISTRICT NO. 1 | 624 Fannin St, Liberty, TX 77575-4916 |
| Street Address |
246 HALEY DR |
| City | CENTER |
| State | TX |
| Zip Code | 75935-9798 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386125607 | Thomas Neil Myron | Physical Therapy Assistant | 246 Haley Dr, Center, TX 75935-9798 | 2018-08-24 |
| 1780165092 | Melonia Molloy | Physical Therapy Assistant | 246 Haley Dr, Center, TX 75935-9798 | 2018-08-24 |
| 1356821219 | Beverly Stanley | Physical Therapist | 246 Haley Dr, Center, TX 75935-9798 | 2018-08-20 |
| 1831679794 | Ashley Balkcom | Speech-Language Pathologist | 246 Haley Dr, Center, TX 75935-9798 | 2018-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013499433 | Bianca J Bennett | Licensed Vocational Nurse | 1108 Sampson St, Center, TX 75935 | 2018-09-01 |
| 1326528118 | Shellie Burns | Occupational Therapist | 11128 Hwy & West, Center, TX 75935 | 2018-08-21 |
| 1497244644 | Seonghak Jung | Specialist/Technologist | 411 Nacogdoches, 6, Center, TX 75935 | 2018-05-03 |
| 1902306756 | Katina Hubbard | Licensed Vocational Nurse | 3752 Fm 2026, Center, TX 75935 | 2018-02-19 |
| 1467952432 | Crystal Allyn Collins | Registered Nurse | 6460 State Highway 147, Center, TX 75935 | 2018-02-16 |
| 1831635614 | Candace Carter | Nurse Practitioner | 630 Hurst Street, Center, TX 75935 | 2017-01-17 |
| 1750779542 | Aurora Concepts, Pllc | Family Medicine | 233 Hurst Street, Suite B, Center, TX 75935 | 2014-12-31 |
| 1295032464 | Tenaha Creek LLC | Assisted Living Facility | 1468 Loop 500, Center, TX 75935 | 2011-02-23 |
| 1891878161 | Julius Neal Nethery | Dentist | 222 Porter St, Center, TX 75935 | 2006-10-23 |
| 1972512598 | Juliana B. Alindada | Specialist | 602 Hurst St., Suite 3, Center, TX 75935 | 2006-08-05 |
| Find all providers in zip 75935 | ||||
| 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 |
|---|---|---|---|---|
| 1790829802 | Mma Healthcare of Center, Inc. | Skilled Nursing Facility | 301 West Dunlop St, Center, MO 63436-0258 | 2007-02-20 |
| 1023045267 | Holiday Nursing Center-center Tx LLC | Skilled Nursing Facility | 280 Moffitt Dr, Highway 87n, Center, TX 75935-8520 | 2006-06-26 |
| 1679539696 | Nexion Health At Center Inc | Skilled Nursing Facility | 501 Timpson St, Center, TX 75935-3439 | 2006-04-26 |
| 1467944108 | Summit Ltc Center LLC | Skilled Nursing Facility | 280 Moffitt Dr, Center, TX 75935-8520 | 2018-05-30 |
| 1417493404 | Fpacp Timpson LLC | Skilled Nursing Facility | 501 Timpson St, Center, TX 75935-3439 | 2017-01-13 |
| 1992170872 | Center Nursing & Rehab LLC | Skilled Nursing Facility | 280 Moffitt Dr, Center, TX 75935-8520 | 2015-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285233171 | Center At Zaragoza, LLC | Skilled Nursing Facility | 12660 Pebble Hills Blvd., El Paso, TX 79936 | 2020-10-21 |
| 1609473362 | Touchstone Strategies - Penitas, LLC | Skilled Nursing Facility | 414 Liberty Blvd., Penitas, TX 78576 | 2020-10-06 |
| 1649884313 | Springtown Ventures Lp | Skilled Nursing Facility | 201 Williams Ward Rd., Springtown, TX 76082 | 2020-09-01 |
| 1821601691 | Altamira Healthcare LLC | Skilled Nursing Facility | 200 Carla St, Zapata, TX 78076-3114 | 2020-08-31 |
| 1538770839 | Go Operations 3 LLC | Skilled Nursing Facility | 4366 Lockhill Selma, Shavano, TX 78249 | 2020-08-11 |
| 1912516329 | Patriot Skilled Nursing and Rehabilitation LLC | Skilled Nursing Facility | 11490 Gateway N Blvd., El Paso, TX 79934 | 2020-07-31 |
| 1972112464 | The Brixton At Horseshoe Bay | Skilled Nursing Facility | 15101 West Fm 2147, Horseshoe Bay, TX 78657 | 2020-07-30 |
| 1558984278 | Slp Johnson City LLC | Skilled Nursing Facility | 206 Haley Rd, Johnson City, TX 78636-4617 | 2020-05-28 |
| 1073136149 | Continuum Rehab Group | Skilled Nursing Facility | 3326 Burgoyne St # 1432, Dallas, TX 75233-1304 | 2020-05-24 |
| 1750904264 | Frank Villanueva | Skilled Nursing Facility | 711 W Broadway St, Denver City, TX 79323-3000 | 2020-05-19 |
| Find all providers with the same taxonomy | ||||
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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.