CITY OF ENNIS (NPI# 1396287504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396287504 |
| Entity Type | Organization |
| Organization Name | CITY OF ENNIS |
| Other Organization Name | BROADMOOR MEDICAL LODGE |
| Practice Address |
5242 Medical Dr Rockwall TX 75032-5001 |
| Practice Telephone | 9727728700 |
| Practice Fax Number | 9727728701 |
| Mailing Telephone | 9727728700 |
| Mailing Fax Number | 9727728701 |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2020-04-30 |
| Authorized Official Name | STEPHEN BARNES (FINANCE DIRECTOR) |
| Authorized Official Telephone | 9728751234 |
| 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 |
|---|---|
| BROADMOOR MEDICAL LODGE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700307964 | City of Ennis | Skilled Nursing Facility | 5000 Thayer Dr, Killeen, TX 76549 | 2017-06-28 |
| 1649722943 | City of Ennis | Skilled Nursing Facility | 701 W Bennett Road, Decatur, TX 76234-3817 | 2016-11-03 |
| 1750833901 | City of Ennis | Skilled Nursing Facility | 901 W Interstate 30, Royse City, TX 75189-7518 | 2016-11-03 |
| 1649362096 | City of Ennis | Ambulance | 206 S Dallas St, Ennis, TX 75119-4747 | 2006-09-29 |
| 1598221442 | City of Ennis | Skilled Nursing Facility | 5524 Cowhorn Creek Rd, Texarkana, TX 75503-9101 | 2019-02-15 |
| 1437615390 | City of Ennis | Skilled Nursing Facility | 6600 9th Ave, Port Arthur, TX 77642-6411 | 2019-02-15 |
| 1679039531 | City of Ennis | Skilled Nursing Facility | 3210 W Highway 22, Corsicana, TX 75110-2449 | 2019-02-15 |
| 1568928505 | City of Ennis | Skilled Nursing Facility | 507 Martin Luther King Blvd, Lubbock, TX 79403-5213 | 2019-02-14 |
| 1932664372 | City of Ennis | Skilled Nursing Facility | 10064 Alameda Ave, Socorro, TX 79927-1801 | 2019-02-08 |
| 1710442785 | City of Ennis | Skilled Nursing Facility | 1900 E California St, Gainesville, TX 76240-4400 | 2019-02-04 |
| Street Address |
5242 MEDICAL DR |
| City | ROCKWALL |
| State | TX |
| Zip Code | 75032-5001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083958862 | Scc Partners, Inc. | Skilled Nursing Facility | 5242 Medical Dr, Rockwall, TX 75032-5001 | 2012-11-19 |
| 1073159208 | Medprofessional Consult LLC | Internal Medicine | 5242 Medical Dr, Rockwall, TX 75032-5001 | 2019-11-22 |
| 1275001216 | Junefe Asuan Villania | Physical Therapist | 5242 Medical Dr, Rockwall, TX 75032-5001 | 2018-11-07 |
| 1871060392 | Amy Jensen-wisetsarakool | Speech-Language Pathologist | 5242 Medical Dr, Rockwall, TX 75032 | 2018-11-02 |
| 1689159758 | Kristen Greer | Speech-Language Pathologist | 5242 Medical Dr, Rockwall, TX 75032-5001 | 2018-09-25 |
| 1245732114 | Leticia Alejandra Campos | Speech-Language Pathologist | 5242 Medical Dr, Rockwall, TX 75032-5001 | 2018-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780291229 | Alexandra Messer | Nurse Practitioner | 6435 S Farm To Market, #201, Heath, TX 75032 | 2020-09-29 |
| 1720649338 | Randalls Food & Drugs Lp | Durable Medical Equipment & Medical Supplies | 551 Laurence Dr, Health, TX 75032 | 2019-06-25 |
| 1346725579 | Arc 32 Family Dentistry | Dentist | 4 Horizon Court Suite 400, Heath, TX 75032 | 2018-10-03 |
| 1275039257 | Karina Bartz Dds Pllc | Dentist | 110 Smirl Drive, Suite 101, Heath, TX 75032 | 2018-03-30 |
| 1861994337 | Lumin Health Physician Group, Pa | Pain Medicine | 4450 Tubbs Road, Rockwall, TX 75032 | 2018-03-01 |
| 1871002816 | Aurentz Family Dental | Clinic/Center | 3140 Horizon Rd Suite 103, Rockwall, TX 75032 | 2017-09-21 |
| 1902200199 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 4282 Ridge Rd, Heath, TX 75032 | 2014-10-16 |
| 1962744714 | Yongrui Luan | Pediatrics | 1005 W Ralph Hall Pkwy Ste 135, Rockwall, TX 75032 | 2013-03-20 |
| 1558608679 | Nikalaus Loyd Laymon | Massage Therapist | 860 Ralph Hall Pkwy, #46, Rockwall, TX 75032 | 2013-01-09 |
| 1932444999 | Chiro One Wellness Center of Rockwall Pllc | Chiropractor | 2881 Market Center Drive, Rockwall, TX 75032 | 2012-12-03 |
| Find all providers in zip 75032 | ||||
| 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 |
|---|---|---|---|---|
| 1225439052 | Ellm Healthcare, LLC | Skilled Nursing Facility | 1870 John King Blvd, Rockwall, TX 75032-6216 | 2014-09-11 |
| 1083958862 | Scc Partners, Inc. | Skilled Nursing Facility | 5242 Medical Dr, Rockwall, TX 75032-5001 | 2012-11-19 |
| 1376545517 | Senior Care Consultants | Skilled Nursing Facility | 206 Storrs St, Rockwall, TX 75087-4006 | 2005-06-01 |
| 1063416303 | Senior Care Consultants, Inc | Skilled Nursing Facility | 6700 Heritage Pkwy, Rockwall, TX 75087-8748 | 2005-06-01 |
| 1417587445 | Haco Health Solutions LLC | Skilled Nursing Facility | 1870 John King Blvd, Rockwall, TX 75032-6216 | 2020-01-17 |
| 1679116354 | Myrtle Springs Healthcare, Inc. | Skilled Nursing Facility | 6700 Heritage Pkwy, Rockwall, TX 75087-8748 | 2019-10-24 |
| 1821233586 | Rw Scc LLC | Skilled Nursing Facility | 206 Storrs St, Rockwall, TX 75087-4006 | 2008-12-10 |
| 1285879940 | Lakepointe Scc LLC | Skilled Nursing Facility | 6700 Heritage Pkwy, Rockwall, TX 75087-8748 | 2008-12-10 |
| 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.