CITIZENS MEDICAL CENTER COUNTY OF VICTORIA (NPI# 1396145587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396145587 |
| Entity Type | Organization |
| Organization Name | CITIZENS MEDICAL CENTER COUNTY OF VICTORIA |
| Other Organization Name | BASTROP LOST PINES NURSING AND REHABILITATION CENTER |
| Practice Address |
430 Old Austin Hwy Bastrop TX 78602-5168 |
| Mailing Address |
2701 Hospital Dr Victoria TX 77901-5748 |
| Practice Telephone | 5123213527 |
| Practice Fax Number | 5123213607 |
| Mailing Telephone | 3615739181 |
| Mailing Fax Number | 3615725126 |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2014-08-26 |
| Authorized Official Name | MR. STEPHEN R THAMES (CEO) |
| Authorized Official Telephone | 3615739181 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 5555 | 05 |
| Other Name | Type Code |
|---|---|
| Bastrop Lost Pines Nursing and Rehabilitation Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427106103 | Citizens Medical Center County of Victoria | Home Health | 2710 Hospital Dr Ste 202, Victoria, TX 77901-5743 | 2007-01-08 |
| 1588063804 | Citizens Medical Center County of Victoria | Skilled Nursing Facility | 104 Rex Kerwin Ct, Pflugerville, TX 78660-2630 | 2014-08-22 |
| 1295134526 | Citizens Medical Center County of Victoria | Skilled Nursing Facility | 169 Medical Dr, Pearsall, TX 78061-6604 | 2014-08-22 |
| 1245639566 | Citizens Medical Center County of Victoria | Skilled Nursing Facility | 3030 Fig St, Corpus Christi, TX 78404-3834 | 2014-08-22 |
| 1669871984 | Citizens Medical Center County of Victoria | Skilled Nursing Facility | 1373 N Avenue C, Elgin, TX 78621-1528 | 2014-08-22 |
| 1326447640 | Citizens Medical Center County of Victoria | Skilled Nursing Facility | 9801 S 1st St, Austin, TX 78748-6760 | 2014-08-22 |
| 1942609268 | Citizens Medical Center County of Victoria | Skilled Nursing Facility | 5301 Duval Rd, Austin, TX 78727-6618 | 2014-08-22 |
| 1740689066 | Citizens Medical Center County of Victoria | Skilled Nursing Facility | 2806 Real St, Austin, TX 78722-1715 | 2014-08-22 |
| 1255730578 | Citizens Medical Center County of Victoria | Skilled Nursing Facility | 2735 Airline Rd, Corpus Christi, TX 78414-3306 | 2014-08-22 |
| 1902227747 | Citizens Medical Center County of Victoria | Skilled Nursing Facility | 101 South Lancaster, Moulton, TX 77975-0120 | 2013-12-20 |
| Street Address |
430 OLD AUSTIN HWY |
| City | BASTROP |
| State | TX |
| Zip Code | 78602-5168 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477791523 | Smithville Hospital Authority | Nursing Facility/Intermediate Care Facility | 430 Old Austin Hwy, Bastrop, TX 78602-5168 | 2009-01-28 |
| 1508485434 | Deepa P Karunakaran | Nurse Practitioner | 430 Old Austin Hwy, Bastrop, TX 78602-5168 | 2020-04-10 |
| 1548749153 | Chelsea Elizabeth Brown | Occupational Therapist | 430 Old Austin Hwy, Bastrop, TX 78602-5168 | 2018-08-14 |
| 1891274486 | Katherine L David | Physical Therapist | 430 Old Austin Hwy, Bastrop, TX 78602-5168 | 2018-08-14 |
| 1326527946 | Marsha Hancock | Speech-Language Pathologist | 430 Old Austin Hwy, Bastrop, TX 78602-5168 | 2018-08-14 |
| 1598244113 | Alisa Kirklin | Occupational Therapy Assistant | 430 Old Austin Hwy, Bastrop, TX 78602-5168 | 2018-08-14 |
| 1174002745 | Stacia Urban | Physical Therapy Assistant | 430 Old Austin Hwy, Bastrop, TX 78602-5168 | 2018-08-14 |
| 1336628932 | Raquel Marquez | Occupational Therapy Assistant | 430 Old Austin Hwy, Bastrop, TX 78602-5168 | 2018-08-14 |
| 1730416264 | Helena Medeiros | Occupational Therapy Assistant | 430 Old Austin Hwy, Bastrop, TX 78602-5168 | 2009-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467076489 | Eve Barton | Counselor | 1368 Farm-to-market Road, Bastrop, TX 78602 | 2020-06-05 |
| 1679030365 | Pompeyo C. Chavez, M.d., Pllc | Family Medicine | 3101 Hwy 71e, Suite 100, Bastrop, TX 78602 | 2019-02-28 |
| 1477025815 | Anna Slavinsky | Pharmacist | 504 State Highway 71 W, Bastrop, TX 78602 | 2018-12-26 |
| 1770076689 | Frontier Radiology | Clinic/Center | 3101 Highway 71e Suite 108, Bastrop, TX 78602 | 2018-06-14 |
| 1881101301 | The Dentists Pllc | Dentist | 301 Highway 71 W Ste 200, Bastrop, TX 78602 | 2018-01-05 |
| 1598286148 | Roadrunner Ultrasound Equipment, LLC | Physiological Laboratory | 704 Hwy 71 W. Ste C300, Bastrop, TX 78602 | 2017-07-05 |
| 1093252611 | Bastrop Modern Dentistry,pc | Dentist | 1670 Hwy 71 E, Suite A, Bastrop, TX 78602 | 2017-01-20 |
| 1619426301 | Josie Cedillo | Social Worker | 1011 Alley A, Bastrop, TX 78602 | 2016-09-23 |
| 1235508565 | Bonnie Jean Kemnitz | Veterinarian | 2900 Tx-95 North, Bastrop, TX 78602 | 2015-09-16 |
| 1457749558 | Rudy Torres Jr. | Occupational Therapy Assistant | 140 Nanakuli Drive, Bastrop, TX 78602 | 2014-12-26 |
| Find all providers in zip 78602 | ||||
| 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 |
|---|---|---|---|---|
| 1154442143 | Oakbend Medical Center | Skilled Nursing Facility | 400 Old Austin Hwy, Bastrop, TX 78602 | 2007-04-03 |
| 1265475164 | Hillview Nursing Home Inc | Skilled Nursing Facility | 650 Holt St, Bastrop, LA 71220-4061 | 2006-06-14 |
| 1215977061 | Cherry Ridge Guest Care, LLC | Skilled Nursing Facility | 5980 Cherry Ridge Rd, Bastrop, LA 71220-1842 | 2006-06-08 |
| 1992786024 | Hickory Manor Nursing & Rehabilitation Center, LLC | Skilled Nursing Facility | 370 W Hickory Ave, Bastrop, LA 71220-4442 | 2005-11-07 |
| 1922099381 | Summerlin Lane Nursing Home Inc | Skilled Nursing Facility | 1408 Summerlin Ln, Bastrop, LA 71220-2529 | 2005-11-03 |
| 1932195708 | Silver Pines Nursing and Rehabilitation Lp | Skilled Nursing Facility | 503 Old Austin Hwy, Bastrop, TX 78602-5016 | 2005-09-27 |
| 1588162390 | Smithville Hospital Authority | Skilled Nursing Facility | 503 Old Austin Hwy, Bastrop, TX 78602-5091 | 2018-01-26 |
| 1154698280 | Lagniappe Healthcare LLC | Skilled Nursing Facility | 370 W Hickory Ave, Bastrop, LA 71220-4442 | 2011-11-17 |
| 1790061224 | Cherry Ridge Skilled Nursing Facility, LLC | Skilled Nursing Facility | 5980 Cherry Ridge Rd, Bastrop, LA 71220-1842 | 2011-10-28 |
| 1316262264 | Hickory Manor Skilled Nursing Facility, LLC | Skilled Nursing Facility | 370 W Hickory Ave, Bastrop, LA 71220-4442 | 2010-04-05 |
| Find all providers in BASTROP | ||||
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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.