PITTSBURG NURSING CENTER, L.P. (NPI# 1518915933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518915933 |
| Entity Type | Organization |
| Organization Name | PITTSBURG NURSING CENTER, L.P. |
| Other Organization Name | PITTSBURG NURSING CENTER |
| Practice Address |
123 Pecan Grove Pittsburg TX 75686-1899 |
| Mailing Address |
200 Dryden Road Suite 2000 Dresher PA 19025-1048 |
| Practice Telephone | 9038563633 |
| Practice Fax Number | 9038566497 |
| Mailing Telephone | 2154417700 |
| Mailing Fax Number | 2154414255 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2007-11-14 |
| Authorized Official Name | MR. PETER J LICARI (PRESIDENT OF GENERAL PARTNER) |
| Authorized Official Telephone | 2154417700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BN1400X |
Durable Medical Equipment & Medical Supplies Specialization: Nursing Facility Supplies |
121460 | TX | Suppliers |
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
121460 | TX | Suppliers |
| Y | 314000000X | Skilled Nursing Facility | 115431 | TX | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 004749 | 05 |
| Other Name | Type Code |
|---|---|
| Pittsburg Nursing Center | Doing Business As Name - Organization |
| Street Address |
123 PECAN GROVE |
| City | PITTSBURG |
| State | TX |
| Zip Code | 75686-1899 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417283805 | Pittsburg Snf LLC | Durable Medical Equipment & Medical Supplies | 123 Pecan Grove, Pittsburg, TX 75686-1816 | 2009-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245866508 | Stayce Wade Phillips | Physical Therapy Assistant | 2801 Hwy 271 N., Pittsburg, TX 75686 | 2020-03-19 |
| 1891321279 | Sally Bagley Andrews | Physical Therapist | 2801 Us Hwy 271 N, Pittsburg, TX 75686 | 2020-03-18 |
| 1669968889 | Camp County Dental Pllc | Dentist | 113 M L King Jr Ave, Pittsburg, TX 75686 | 2018-07-11 |
| 1326174426 | Camp County Ambulance Service | Ambulance | 122 E Church St, Pittsburg, TX 75686 | 2007-02-26 |
| 1134237290 | Terence Aloysius Cook | Dentist | 113 North Avenue, Pittsburg, TX 75686 | 2006-08-29 |
| 1689639098 | Larry J Richardson | Dentist | 108 Mt Pleasant, Pittsburg, TX 75686 | 2006-04-19 |
| 1477180636 | Guy Deluna | Physical Therapist | 2801 Us Hwy 271 N, Pittsburg, TX 75686 | 2020-03-26 |
| 1992802201 | Virginia R. Thurman | Counselor | 424 Henderson St., Pittsburg, TX 75686-0596 | 2006-09-20 |
| 1467937557 | Jessica Rubit Garcia | Licensed Vocational Nurse | 311 Fairview St, Pittsburg, TX 75686-1013 | 2018-09-25 |
| 1124050125 | Stephen R Creme' | Emergency Medicine | 414 Quitman St, Pittsburg, TX 75686-1032 | 2006-07-07 |
| Find all providers in zip 75686 | ||||
| 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 |
|---|---|---|---|---|
| 1780771717 | Medicalodges, Inc. | Skilled Nursing Facility | 2520 S Rouse St, Pittsburg, KS 66762-6605 | 2006-10-10 |
| 1568559623 | Medicalodges, Inc. | Skilled Nursing Facility | 2614 N Joplin St, Pittsburg, KS 66762-2643 | 2006-10-09 |
| 1083665194 | Ggnsc Pittsburg LLC | Skilled Nursing Facility | 1005 E Centennial Dr, Pittsburg, KS 66762-6603 | 2006-05-13 |
| 1578112561 | Pittsburg Operator, LLC | Skilled Nursing Facility | 1005 E Centennial Dr, Pittsburg, KS 66762-6603 | 2019-09-11 |
| 1962975011 | City of Ennis | Skilled Nursing Facility | 123 Pecan Blvd, Pittsburg, TX 75686-1816 | 2019-01-10 |
| 1639627268 | Pittsburg Care and Rehabilitation Center, LLC | Skilled Nursing Facility | 1005 E Centennial Dr, Pittsburg, KS 66762-6603 | 2016-09-12 |
| 1083019657 | Pittsburg Skilled Nursing Group, Inc. | Skilled Nursing Facility | 535 School St, Pittsburg, CA 94565-3937 | 2014-10-24 |
| 1457471401 | Ssc Pittsburg Operating Company Lp | Skilled Nursing Facility | 2351 Loveridge Rd, Pittsburg, CA 94565-5117 | 2007-03-30 |
| 1922110378 | Pittsburg Care Center Inc | Skilled Nursing Facility | 535 School St, Pittsburg, CA 94565-3937 | 2006-08-31 |
| 1144241738 | Ascension Via Christi Hospital Pittsburg, Inc. | Skilled Nursing Facility | 1 Mt Carmel Way, Pittsburg, KS 66762-7587 | 2006-07-21 |
| Find all providers in PITTSBURG | ||||
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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.