SOUTHWEST LTC KELLER, LLC (NPI# 1376837138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376837138 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST LTC KELLER, LLC |
| Other Organization Name | HERITAGE HOUSE OF KELLER HEALTH & REHABILITATION CENTER |
| Practice Address |
1150 Whitley Rd Keller TX 76248-3038 |
| Practice Telephone | 8174312518 |
| Practice Fax Number | 4699166105 |
| Mailing Telephone | 8174312518 |
| Mailing Fax Number | 4699166105 |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2012-11-29 |
| Authorized Official Name | RONALD R PAYNE (MANAGER) |
| Authorized Official Telephone | 4699166100 |
| 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 |
|---|---|
| Heritage House of Keller Health & Rehabilitation Center | Doing Business As Name - Organization |
| Street Address |
1150 WHITLEY RD |
| City | KELLER |
| State | TX |
| Zip Code | 76248-3038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699723007 | Vericare, P.C. | Social Worker | 1150 Whitley Rd, Keller, TX 76248-3038 | 2006-05-05 |
| 1528698727 | Haven Eyecare Pllc | Optometrist | 1150 Whitley Rd, Keller, TX 76248-3038 | 2020-01-16 |
| 1306405592 | Carnesha L Collins | Social Worker | 1150 Whitley Rd, Keller, TX 76248-3038 | 2019-06-11 |
| 1487134607 | Kacia Bruning | Physical Therapist | 1150 Whitley Rd, Keller, TX 76248-3038 | 2018-08-16 |
| 1588063820 | Palo Pinto County Hospital District | Skilled Nursing Facility | 1150 Whitley Rd, Keller, TX 76248-3038 | 2014-08-21 |
| 1023362597 | Keller Snf LLC | Skilled Nursing Facility | 1150 Whitley Rd, Keller, TX 76248-3038 | 2012-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316556145 | Tyler Woodall | Counselor | 1668 Keller Parkway, Suite 200, Keller, TX 76248 | 2020-07-28 |
| 1396366456 | Kelcie Dao | Speech-Language Pathologist | 630 B Stoneglen Drive, Keller, TX 76248 | 2020-04-29 |
| 1003447384 | Alliance Orthotics and Prosthetics, L.L.C. | Prosthetic/Orthotic Supplier | 101 Bourland Rd Suite A, Keller, TX 76248 | 2020-01-27 |
| 1033759832 | Everest Rehabilitation Hospital Keller, LLC | Rehabilitation Hospital | 955 S. Main St., Keller, TX 76248 | 2020-01-09 |
| 1750934253 | Pediatric Dentistry of Keller Pllc | Dentist | 1627 Keller Parkway, Suite 100, Keller, TX 76248 | 2019-07-23 |
| 1306345293 | Jaqui Otto | Psychologist | 1664 Keller Parkway Ste 102, Keller, TX 76248 | 2018-02-06 |
| 1194223404 | Hartman Samuel Ian Watson | Chiropractor | 1211 S Main St Ste 300h, Keller, TX 76248 | 2018-02-01 |
| 1760900997 | Md First Watch Healthcare Pllc | Clinic/Center | 310 Keller Parkway, Keller, TX 76248 | 2017-09-08 |
| 1588104541 | Elias Alharari | Nurse Practitioner | 651 S Main St Ste 102, Keller, TX 76248 | 2017-02-24 |
| 1730631698 | Alliance Counseling and Education Center | Social Worker | 1540 Keller Parkway, Ste. 108-205, Keller, TX 76248 | 2016-10-26 |
| Find all providers in zip 76248 | ||||
| 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 |
|---|---|---|---|---|
| 1942397138 | Thi of Texas At Mimosa, LLC | Skilled Nursing Facility | 459 Keller Pkwy, Keller, TX 76248-2302 | 2006-10-07 |
| 1396727210 | Pinnacle Health Facilities of Texas IIi Lp | Skilled Nursing Facility | 8703 Davis Blvd, Keller, TX 76248-0309 | 2005-11-16 |
| 1649824343 | Eastland Memorial Hospital District | Skilled Nursing Facility | 8703 Davis Blvd, Keller, TX 76248 | 2019-07-31 |
| 1588063820 | Palo Pinto County Hospital District | Skilled Nursing Facility | 1150 Whitley Rd, Keller, TX 76248-3038 | 2014-08-21 |
| 1023362597 | Keller Snf LLC | Skilled Nursing Facility | 1150 Whitley Rd, Keller, TX 76248-3038 | 2012-11-05 |
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|---|---|---|---|---|
| 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.