PARK HAVEN NURSING AND REHABILITATION, L.P. (NPI# 1538155304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538155304 |
| Entity Type | Organization |
| Organization Name | PARK HAVEN NURSING AND REHABILITATION, L.P. |
| Practice Address |
3500 Park St Greenville TX 75401-5159 |
| Mailing Address |
401 N Elm St Denton TX 76201-4137 |
| Practice Telephone | 9034552220 |
| Practice Fax Number | 9034550343 |
| Mailing Telephone | 9403874388 |
| Mailing Fax Number | 9403802410 |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2012-03-21 |
| Authorized Official Name | MR. MICHAEL A RICH (PRESIDENT) |
| Authorized Official Telephone | 9403874388 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 109686 | TX | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TMHP(CROSS OVER) | 156542601 | 01 |
| TX | 001004402 | 05 |
| Street Address |
3500 PARK ST |
| City | GREENVILLE |
| State | TX |
| Zip Code | 75401-5159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790174357 | Nocona Hospital District | Skilled Nursing Facility | 3500 Park St, Greenville, TX 75401-5159 | 2015-01-20 |
| 1174897730 | Greenville I Enterprises LLC | Skilled Nursing Facility | 3500 Park St, Greenville, TX 75401-5159 | 2012-02-29 |
| 1386967131 | Jessica M Alvarez | Physical Therapist | 3500 Park St, Greenville, TX 75401-5159 | 2010-03-09 |
| 1902047582 | Nancy Jane Haynes | Physical Therapy Assistant | 3500 Park St, Greenville, TX 75401-5159 | 2009-03-11 |
| 1235384371 | Justin E Morais | Physical Therapist | 3500 Park St, Greenville, TX 75401-5159 | 2008-11-17 |
| 1336393842 | Rebecca R Delgado | Occupational Therapy Assistant | 3500 Park St, Greenville, TX 75401-5159 | 2008-11-11 |
| 1902050552 | Merridith Kay Scallorn | Speech-Language Pathologist | 3500 Park St, Greenville, TX 75401-5159 | 2008-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639653512 | Steven Wolanski | Occupational Therapy Assistant | Greenville Gardens Snf 3500 Park St., Greenville, TX 75401 | 2018-09-18 |
| 1184125460 | Heather Rae Hudson | Registered Nurse | 4911 Henry St, Greenville, TX 75401 | 2018-02-22 |
| 1154864742 | Kimberly Elaine Middleton | Nurse Practitioner | 4211 Joe Ramsey Blvd E Ste 105, Greenville, TX 75401 | 2016-11-30 |
| 1013373885 | Paul Brancheau | Podiatrist | 3900 Joe Ramsey Blvd E Bldg 5, Greenville, TX 75401 | 2016-01-11 |
| 1982079331 | Foresight Home Healthcare Incorporated | Home Health | 2102 Frazier Street, Greenville, TX 75401 | 2015-12-10 |
| 1083018451 | Johnny Sanders Jr. | Nurse's Aide | 1705 Northwest Hwy, Garland, TX 75401 | 2014-10-14 |
| 1942620299 | Robert Chandler Duckworth | Counselor | 4216 Wesley Street, Suite 700, Greenville, TX 75401 | 2014-04-24 |
| 1164843645 | Erica Rae Crawford | Psychologist | 3101 Joe Ramsey Boulevard, Suite 103a, Greenville, TX 75401 | 2013-12-30 |
| 1215225057 | Jordan Kelsi Mahan | Nurse Practitioner | 4101 Wesley St Ste D, Greenville, TX 75401 | 2011-07-14 |
| 1477888196 | Johnny Johnson | Physician Assistant | 4211 Joe Ramsey Blvd, Suite 100, Greenville, TX 75401 | 2009-10-14 |
| Find all providers in zip 75401 | ||||
| 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 |
|---|---|---|---|---|
| 1437673456 | 13455 Golden LLC | Skilled Nursing Facility | 13455 West Highway 90, Greenville, FL 32331 | 2017-08-01 |
| 1710348305 | Maybrook-c Whitecliff Opco LLC | Skilled Nursing Facility | 110 Fredonia Road, Greenville, PA 16125-7911 | 2016-03-10 |
| 1154792000 | East Carolina Rehab and Wellness, LLC | Skilled Nursing Facility | 2575 W 5th St, Greenville, NC 27834-7813 | 2015-10-16 |
| 1972932879 | Crosswinds Rehab | Skilled Nursing Facility | 13455 W Us Hwy 90, Greenville, FL 32331 | 2013-11-01 |
| 1427484195 | Greenville Nursing and Rehabilitation, LLC | Skilled Nursing Facility | 117 Sycamore Street, Greenville, MO 63944-0108 | 2013-09-25 |
| 1255778064 | Providence Home Care LLC | Skilled Nursing Facility | 128 Millport Cir, Suite 200, Greenville, SC 29607-5571 | 2013-06-03 |
| 1548572894 | Patewood Rehabilitation and Healthcare Center, LLC | Skilled Nursing Facility | 2 Griffith Rd., Greenville, SC 29607-3503 | 2010-07-01 |
| 1952530867 | Upstate Senior Living, Inc. | Skilled Nursing Facility | 50 Arboretum Way, Greenville, SC 29617-6226 | 2009-07-13 |
| 1225276736 | 13455 Management LLC | Skilled Nursing Facility | 13455 West Us Highway 90, Greenville, FL 32331 | 2009-01-22 |
| 1285879437 | Benchmark Healthcare of Greenville, LLC | Skilled Nursing Facility | 108 Sycamore St, Greenville, MO 63944-0108 | 2008-12-02 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 75401 |
Please comment or provide details below to improve the information on PARK HAVEN NURSING AND REHABILITATION, L.P..
| 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.