HEARTWAY III CORPORATION (NPI# 1356328215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356328215 |
| Entity Type | Organization |
| Organization Name | HEARTWAY III CORPORATION |
| Other Organization Name | AVALON PLACE - KIRBYVILLE |
| Practice Address |
700 N Herndon Ave Kirbyville TX 75956-1518 |
| Practice Telephone | 4094236111 |
| Practice Fax Number | 4094235807 |
| Mailing Telephone | 4094236111 |
| Mailing Fax Number | 4094235807 |
| Enumeration Date | 2005-12-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. DAVID T. OBERGFELL (PRESIDENT-BOARD OF DIRECTORS) |
| Authorized Official Telephone | 2147770282 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 112142 | TX | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Avalon Place - Kirbyville | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619955416 | Heartway IIi Corporation | Skilled Nursing Facility | 808 S Robb St, Trinity, TX 75862-7602 | 2006-01-03 |
| 1972581882 | Heartway IIi Corporation | Skilled Nursing Facility | 1405 Valhalla Dr, Wharton, TX 77488-9218 | 2006-01-03 |
| Street Address |
700 N HERNDON AVE |
| City | KIRBYVILLE |
| State | TX |
| Zip Code | 75956-1518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376594390 | Barbara Reneau | Registered Nurse | 700 N Herndon Ave, Kirbyville, TX 75956-1518 | 2006-05-15 |
| 1447200118 | Liberty County Hospital District No 1 | Skilled Nursing Facility | 700 N Herndon Ave, Kirbyville, TX 75956-1518 | 2006-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972653582 | Burke Center | Intermediate Care Facility, Mental Illness | 703 W. Martin Luther King Drive, Kirbyville, TX 75956 | 2007-01-12 |
| 1578620431 | Stewart Elgen Braddock | Dentist | 2091 South Margaret, Kirbyville, TX 75956 | 2007-01-02 |
| 1700984978 | Newton Family Clinic P.a. | Clinic/Center | 104 E. Lavielle Street, Kirbyville, TX 75956 | 2006-09-20 |
| 1972524627 | Jasper Memorial Family Practice Center | Family Medicine | 205 E. Louielle, Kirbyville, TX 75956 | 2006-07-21 |
| 1841352440 | Texas Total Care, Inc. | Home Health | 1211 N Margaret Ave, Kirbyville, TX 75956-1619 | 2006-12-14 |
| 1629087630 | East Texas Family Healthcare Pllc | Clinic/Center | 1905 N Margaret Ave, Kirbyville, TX 75956-1652 | 2006-08-07 |
| 1083751820 | John Vincent Sessions | Dentist | 106 W Main St, Kirbyville, TX 75956-2032 | 2007-01-31 |
| 1063485548 | Christus Health Southeast Texas | Clinic/Center | 205 E Lavielle St, Kirbyville, TX 75956-2119 | 2006-02-07 |
| 1932327228 | Jasper Newton County Public Health District | Public Health or Welfare | 205 E Lavielle St, Kirbyville, TX 75956-2119 | 2007-04-23 |
| 1811947401 | Susan Edge | Nurse Practitioner | 205 E Lavielle St, Kirbyville, TX 75956-2119 | 2006-05-12 |
| Find all providers in zip 75956 | ||||
| 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 |
|---|---|---|---|---|
| 1447200118 | Liberty County Hospital District No 1 | Skilled Nursing Facility | 700 N Herndon Ave, Kirbyville, TX 75956-1518 | 2006-05-11 |
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| 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 | ||||
| City | KIRBYVILLE |
| Zip Code | 75956 |
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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.