CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY (NPI# 1588073597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588073597 |
| Entity Type | Organization |
| Organization Name | CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY |
| Other Organization Name | COLONIAL MANOR NURSING CENTER |
| Practice Address |
2035 Granbury St Cleburne TX 76033-7460 |
| Practice Telephone | 8176459134 |
| Practice Fax Number | 8176414662 |
| Mailing Telephone | 8176459134 |
| Mailing Fax Number | 8176414662 |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2014-08-05 |
| Authorized Official Name | DAVID K BYROM (CEO) |
| Authorized Official Telephone | 2542486300 |
| 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 | 004525 | 05 |
| Other Name | Type Code |
|---|---|
| COLONIAL MANOR NURSING CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780298547 | Coryell County Memorial Hospital Authority | Clinic/Center | 498 Avenue E, Moody, TX 76557-3579 | 2020-08-31 |
| 1780124594 | Coryell County Memorial Hospital Authority | Skilled Nursing Facility | 121 Commons, Athens, TX 75751-0009 | 2017-02-27 |
| 1962891523 | Coryell County Memorial Hospital Authority | Skilled Nursing Facility | 3505 S Buckner Blvd Bldg 5, Dallas, TX 75227-5451 | 2015-01-20 |
| 1952531824 | Coryell County Memorial Hospital Authority | Family Medicine | 3401 East Main Street, Gatesville, TX 76528-1028 | 2009-07-24 |
| 1457468431 | Coryell County Memorial Hospital Authority | Skilled Nursing Facility | 7801 Woodway Dr, Woodway, TX 76712-3860 | 2006-08-24 |
| 1669589610 | Coryell County Memorial Hospital Authority | Skilled Nursing Facility | 8501 Laurens Ln, San Antonio, TX 78218-6092 | 2006-08-24 |
| 1447296264 | Coryell County Memorial Hospital Authority | Nursing Facility/Intermediate Care Facility | 110 Chicktown Road, Gatesville, TX 76528-1035 | 2006-06-21 |
| 1518900778 | Coryell County Memorial Hospital Authority | Clinic/Center | 1510 Hannah Valley Rd, Goldthwaite, TX 76844-2533 | 2006-06-14 |
| 1568417491 | Coryell County Memorial Hospital Authority | Emergency Medicine | 1507 West Main Street, Gatesville, TX 76528-1024 | 2006-05-22 |
| 1538624507 | Coryell County Memorial Hospital Authority | Skilled Nursing Facility | 2300 S Oak Grove Rd, Ennis, TX 75119-6841 | 2019-02-04 |
| Street Address |
2035 GRANBURY ST |
| City | CLEBURNE |
| State | TX |
| Zip Code | 76033-7460 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609052919 | Ashley Marshall Everett | Speech-Language Pathologist | 2035 Granbury St, Cleburne, TX 76033-7460 | 2008-01-16 |
| 1073095709 | Frances Barbara Dunn | Occupational Therapist | 2035 Granbury St, Cleburne, TX 76033-7460 | 2018-08-29 |
| 1093094211 | Paul Mowrey Iv | Physical Therapy Assistant | 2035 Granbury St, Cleburne, TX 76033-7460 | 2011-08-04 |
| 1780910273 | Colonial Manor Nh Snf LLC | Durable Medical Equipment & Medical Supplies | 2035 Granbury St, Cleburne, TX 76033-7460 | 2009-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629628631 | Barbara Hicks | Technician | 1020 Highland Rd, Cleburne, TX 76033 | 2019-09-12 |
| 1346758315 | Tabatha Estes | Physician Assistant | 2010 W Katherine P Raines Rd Ste 100, Cleburne, TX 76033 | 2018-01-11 |
| 1053836759 | A Bright Foundation | Community/Behavioral Health | 509 Graham Street, Cleburne, TX 76033 | 2017-08-03 |
| 1891162491 | Lesa Hough | Occupational Therapist | 1503 Twin Oaks Ct, Cleburne, TX 76033 | 2015-08-31 |
| 1043695984 | Eduy J James | Nurse Practitioner | 128 S. Ridgeway Drive, Cleburne, TX 76033 | 2015-07-21 |
| 1306235775 | Bavousett's Caring Keepers | Registered Nurse | 405 N. Ridgeway Dr., Suite 1-a, Cleburne, TX 76033 | 2015-01-22 |
| 1679994313 | Health Imaging Partners LLC | Physiological Laboratory | 203 Walls Drive, Ste 101, Cleburne, TX 76033 | 2013-12-24 |
| 1043641079 | Melinda Weber | Counselor | 1819 Cr #1107a, Cleburne, TX 76033 | 2013-12-02 |
| 1356778070 | Jeremy Lamar Carter | Psychologist | 904 E Henderson St, Cleburne, TX 76033 | 2013-09-27 |
| 1770844102 | Heart To Heart Hospice of The Brazos, LLC | Hospice Care, Community Based | 1200 W Henderson St Ste I, Cleburne, TX 76033 | 2012-06-01 |
| Find all providers in zip 76033 | ||||
| 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 |
|---|---|---|---|---|
| 1144620212 | Jason Fautheree | Skilled Nursing Facility | 607 Willow Bend St, Cleburne, TX 76031-0314 | 2014-08-26 |
| 1790963130 | Dallas County Hospital District | Skilled Nursing Facility | 206 Walls Dr, Cleburne, TX 76033-4045 | 2008-02-07 |
| 1801979455 | Morningstar Operating #4, Ltd | Skilled Nursing Facility | 302 Lincoln Park Dr, Cleburne, TX 76033-7015 | 2006-10-24 |
| 1215958087 | Pinnacle Health Facilities of Texas Xiv Lp | Skilled Nursing Facility | 301 Lincoln Park Dr, Cleburne, TX 76033-7016 | 2006-07-21 |
| 1316938145 | Texas - Waverley Group, Inc. | Skilled Nursing Facility | 1108 W Kilpatrick St, Cleburne, TX 76033-7477 | 2005-11-01 |
| 1679735781 | Cleburne Health Care LLC | Skilled Nursing Facility | 1108 W Kilpatrick St, Cleburne, TX 76031-7477 | 2008-06-30 |
| 1174533392 | Morningstar Operating #1, Ltd. | Skilled Nursing Facility | 301 Lincoln Park Dr, Cleburne, TX 76033-7016 | 2006-08-09 |
| 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.