CENTURY-LYNNHAVEN-GEAC,LLC (NPI# 1619964004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619964004 |
| Entity Type | Organization |
| Organization Name | CENTURY-LYNNHAVEN-GEAC,LLC |
| Other Organization Name | LYNNHAVEN NURSING CENTER |
| Practice Address |
3030 Fig St Corpus Christi TX 78404-3834 |
| Practice Telephone | 3618821948 |
| Practice Fax Number | 3618888530 |
| Mailing Telephone | 3618821948 |
| Mailing Fax Number | 3618888530 |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. DIANE M RYAN (OWNER'S REPRESENTATIVE) |
| Authorized Official Telephone | 9528370818 |
| Authorized Official Credential | RN,MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 113020 | TX | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 005039 | 05 |
| Other Name | Type Code |
|---|---|
| Lynnhaven Nursing Center | Doing Business As Name - Organization |
| Street Address |
3030 FIG ST |
| City | CORPUS CHRISTI |
| State | TX |
| Zip Code | 78404-3834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528548237 | Victor Iracheta | Occupational Therapy Assistant | 3030 Fig St, Corpus Christi, TX 78404-3834 | 2018-08-21 |
| 1235619362 | Delia Bintliff | Physical Therapy Assistant | 3030 Fig St, Corpus Christi, TX 78404-3834 | 2018-08-17 |
| 1043790140 | Miroslava M Medellin | Physical Medicine & Rehabilitation | 3030 Fig St, Corpus Christi, TX 78404-3834 | 2018-08-17 |
| 1023598471 | Misty Yvette Endres | Physical Therapy Assistant | 3030 Fig St, Corpus Christi, TX 78404-3834 | 2018-08-15 |
| 1174003628 | Alexa Erin Martin | Physical Therapy Assistant | 3030 Fig St, Corpus Christi, TX 78404-3834 | 2018-08-15 |
| 1659851145 | Joaquina Marie Gamboa | Speech-Language Pathologist | 3030 Fig St, Corpus Christi, TX 78404-3834 | 2018-08-15 |
| 1265912893 | Monica Michelle Manzano | Occupational Therapy Assistant | 3030 Fig St, Corpus Christi, TX 78404-3834 | 2018-08-14 |
| 1245639566 | Citizens Medical Center County of Victoria | Skilled Nursing Facility | 3030 Fig St, Corpus Christi, TX 78404-3834 | 2014-08-22 |
| 1407127384 | Dewitt Medical District | Nursing Facility/Intermediate Care Facility | 3030 Fig St, Corpus Christi, TX 78404-3834 | 2012-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942810866 | Eileen Michelle Isaacs | Social Worker | 1315 Sante Fe St. Ste. 215, Corpus Christi, TX 78404 | 2020-08-05 |
| 1386109791 | Sanil John | Specialist/Technologist, Other | South Texas Brain and Spine Centers, 1227 3rd St, Corpus Christi, TX 78404 | 2019-02-11 |
| 1114422599 | Paul Jackson | Student in an Organized Health Care Education/Training Program | 600 Elizabeth St, Gme, Corpus Christi, TX 78404 | 2018-03-27 |
| 1740704303 | Edwin Gabriel Otero | Student in an Organized Health Care Education/Training Program | 600 Elizabeth St # 9b, Corpus Christi, TX 78404 | 2017-07-26 |
| 1053832170 | Melissa D Ponder | Emergency Medicine | 600 Elizabeth St Ste 6b, Corpus Christi, TX 78404 | 2017-06-28 |
| 1821533480 | Collen Mora | Nurse Practitioner | 1533 5th Street, Coprus Christi, TX 78404 | 2017-01-05 |
| 1013365717 | Terri L Sutphin | Speech-Language Pathologist | 1001 Louisiana Ave., Ste #402, Corpus Christi, TX 78404 | 2016-06-03 |
| 1982067872 | Janareddy Mandadi | Pharmacist | 1335 Santa Fe, Shoreline Pharmacy, Corpus Christi, TX 78404 | 2016-03-30 |
| 1932514007 | Debra Carpenter Guzman | Nurse Practitioner | 1600 S Staples, Ste 150, Corpus Christi, TX 78404 | 2014-06-26 |
| 1083037451 | Michelle Lynn Freshcoln Talbert | Registered Nurse | 309 Ohio Ave., Corpus Christi, TX 78404 | 2014-01-21 |
| Find all providers in zip 78404 | ||||
| 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 |
|---|---|---|---|---|
| 1649578642 | Sqlc Senior Living Center At Corpus Christi, Inc. | Skilled Nursing Facility | 5857 Timbergate Dr, Corpus Christi, TX 78414-4234 | 2011-03-01 |
| 1245390780 | Pm Management-corpus Christi Nc LLC | Skilled Nursing Facility | 202 Fortune Dr, Corpus Christi, TX 78405-3919 | 2006-12-12 |
| 1518036987 | Ssc Nueces Retama LLC | Skilled Nursing Facility | 2322 Morgan Ave, Corpus Christi, TX 78405-1947 | 2006-11-07 |
| 1326071358 | Wooldridge Medical Investors, LLC | Skilled Nursing Facility | 7352 Wooldridge Rd, Corpus Christi, TX 78414-2807 | 2006-07-10 |
| 1538190582 | Life Care Centers of America, Inc. | Skilled Nursing Facility | 1101 S Alameda St, Corpus Christi, TX 78404-3256 | 2006-07-06 |
| 1316991391 | Bay Area Healthcare Group, Ltd. | Skilled Nursing Facility | 3315 South Alameda, Corpus Christi, TX 78411-1820 | 2006-05-22 |
| 1134115918 | The Palms Nursing and Rehabilitation Lp | Skilled Nursing Facility | 5607 Everhart Rd, Corpus Christi, TX 78411-4904 | 2005-09-27 |
| 1174520225 | Ihs Acquisition No 140 Inc | Skilled Nursing Facility | 1314 3rd St, Corpus Christi, TX 78404-2208 | 2005-07-05 |
| 1578569158 | Fe Deere Inc | Skilled Nursing Facility | 801 Cantwell Ln, Corpus Christi, TX 78408-2605 | 2005-06-28 |
| 1982228656 | San Rafael Operations Inc. | Skilled Nursing Facility | 3050 Sunnybrook Rd, Corpus Christi, TX 78415-1748 | 2020-05-29 |
| Find all providers in CORPUS CHRISTI | ||||
| City | CORPUS CHRISTI |
| Zip Code | 78404 |
Please comment or provide details below to improve the information on CENTURY-LYNNHAVEN-GEAC,LLC.
| 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.