LIBERTY COUNTY HOSPITAL DISTRICT NO. 1 (NPI# 1639163595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639163595 |
| Entity Type | Organization |
| Organization Name | LIBERTY COUNTY HOSPITAL DISTRICT NO. 1 |
| Other Organization Name | BRIARCLIFF SKILLED NURSING FACILITY |
| Practice Address |
4054 Nw Loop Carthage TX 75633-3346 |
| Mailing Address |
1500 Waters Ridge Dr Suite 200 Lewisville TX 75057-6011 |
| Practice Telephone | 9036938504 |
| Practice Fax Number | 9036939487 |
| Mailing Telephone | 9728994401 |
| Mailing Fax Number | 9728994460 |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2017-02-17 |
| Authorized Official Name | C BRUCE STRATTON (BOARD PRESIDENT) |
| Authorized Official Telephone | 9363367400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 114221 | TX | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 001021324 | 05 | |
| TX | MEDICAID CO B | 176024101 | 01 |
| Other Name | Type Code |
|---|---|
| Briarcliff Skilled Nursing Facility | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144769563 | Liberty County Hospital District No. 1 | Skilled Nursing Facility | 624 Fannin St, Liberty, TX 77575-4916 | 2017-02-17 |
| 1811358229 | Liberty County Hospital District No. 1 | Skilled Nursing Facility | 8902 West Rd, Houston, TX 77064-8635 | 2016-03-11 |
| 1922260876 | Liberty County Hospital District No. 1 | Nursing Facility/Intermediate Care Facility | 3840 Pointe Pkwy, Beaumont, TX 77706-2000 | 2008-07-01 |
| 1326032186 | Liberty County Hospital District No. 1 | Skilled Nursing Facility | 246 Haley Dr, Center, TX 75935-9798 | 2005-09-08 |
| 1962496836 | Liberty County Hospital District No. 1 | Skilled Nursing Facility | 1203 Fm 1277, San Augustine, TX 75972-1635 | 2005-09-07 |
| 1457859589 | Liberty County Hospital District No. 1 | Skilled Nursing Facility | 2212 W Reagan St, Palestine, TX 75801-2222 | 2018-01-23 |
| 1487195095 | Liberty County Hospital District No. 1 | Skilled Nursing Facility | 624 Fannin St, Liberty, TX 77575-4916 | 2017-03-15 |
| 1871032292 | Liberty County Hospital District No. 1 | Skilled Nursing Facility | 624 Fannin St, Liberty, TX 77575-4916 | 2017-02-17 |
| 1912352766 | Liberty County Hospital District No. 1 | Skilled Nursing Facility | 1720 N Logan St, Texas City, TX 77590-4931 | 2016-04-29 |
| 1811371701 | Liberty County Hospital District No. 1 | Medicare Defined Swing Bed Unit | 1353 N Travis St, Liberty, TX 77575-3549 | 2015-07-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LIBERTY COUNTY HOSPITAL DISTRICT NO. 1 | 624 Fannin St, Liberty, TX 77575-4916 |
| Street Address |
4054 NW LOOP |
| City | CARTHAGE |
| State | TX |
| Zip Code | 75633-3346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952882458 | Emily Vance | Occupational Therapy Assistant | 4054 Nw Loop, Carthage, TX 75633-3346 | 2018-08-23 |
| 1245710987 | Lisa Warren Cockrell | Physical Therapy Assistant | 4054 Nw Loop, Carthage, TX 75633-3346 | 2018-08-21 |
| 1265912224 | Keith Jerome Free | Physical Therapy Assistant | 4054 Nw Loop, Carthage, TX 75633-3346 | 2018-08-20 |
| 1790173367 | Hopkins County Hospital District | Skilled Nursing Facility | 4054 Nw Loop, Carthage, TX 75633-3346 | 2015-01-05 |
| 1376856161 | Gerald J Akpassa Md Pa | Internal Medicine | 4054 Nw Loop, Carthage, TX 75633-3346 | 2010-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508039348 | Assisted Living Concepts Inc | Assisted Living Facility | 513 North Adams, Carthage, TX 75633 | 2008-04-11 |
| 1770666208 | Prakash Malviya | Pediatrics | 409 Cottage Road, Etmc, Carthage, TX 75633 | 2006-10-20 |
| 1457448011 | Johnny Edwin Majors | Dentist | 103 North Sycamore, Carthage, TX 75633 | 2006-10-06 |
| 1740374164 | Clayton H. Brakeville | Physical Therapist | 107 S. Daniels St, Carthage, TX 75633 | 2006-10-02 |
| 1205927761 | Dennis D Golden Sr. | Optometrist | 105 Cottage Rd, Carthage, TX 75633 | 2006-09-27 |
| 1770685059 | Tom M Jones | Dentist | 311 West Sabine, Carthage, TX 75633 | 2006-09-05 |
| 1124037031 | Izzy Inc | Durable Medical Equipment & Medical Supplies | 106 N Shelby St, Carthage, TX 75633 | 2006-08-07 |
| 1699705756 | Iraj Roshan | Internal Medicine | 1519 W Panola St, Carthage, TX 75633 | 2006-07-04 |
| 1073504437 | Charles Deron Lewis | Durable Medical Equipment & Medical Supplies | 310 N Adams Street, Carthage, TX 75633 | 2005-11-03 |
| 1538157300 | Slp Carthage LLC | Skilled Nursing Facility | 701 S Market St, Carthage, TX 75633 | 2005-10-06 |
| Find all providers in zip 75633 | ||||
| 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 |
|---|---|---|---|---|
| 1427575505 | Trend Health and Rehab of Carthage | Skilled Nursing Facility | 1101 E. Franklin Street, Carthage, MS 39051 | 2017-08-29 |
| 1720138027 | St.luke's Management Co.,inc. | Skilled Nursing Facility | 1220 E Fairview Ave, Carthage, MO 64836-3122 | 2007-01-11 |
| 1548353063 | Beverly Enterprises - Mississippi Inc | Skilled Nursing Facility | 1101 E Franklin St, Carthage, MS 39051 | 2006-10-02 |
| 1427062363 | Kindred Nursing Centers Limited Partnership | Skilled Nursing Facility | 112 Health Care Dr, Carthage, TN 37030-1069 | 2006-07-28 |
| 1073558425 | Carthage Nursing and Rehabilitation Center LLC | Skilled Nursing Facility | 1045 West St, Carthage, NY 13619-9762 | 2006-06-19 |
| 1467408062 | Northport Health Services of Missouri, LLC | Skilled Nursing Facility | 1901 Buena Vista Ave, Carthage, MO 64836-3178 | 2006-05-25 |
| 1538157300 | Slp Carthage LLC | Skilled Nursing Facility | 701 S Market St, Carthage, TX 75633 | 2005-10-06 |
| 1528067121 | Panola 501 Partners, Lp | Skilled Nursing Facility | 501 Cottage Rd, Carthage, TX 75633-1467 | 2005-07-18 |
| 1629593314 | Eagle Acquisition Ix LLC | Skilled Nursing Facility | 112 Health Care Dr, Carthage, TN 37030-1168 | 2017-08-03 |
| 1578099958 | Clr Carthage LLC | Skilled Nursing Facility | 1045 West St, Carthage, NY 13619-9762 | 2017-05-04 |
| Find all providers in CARTHAGE | ||||
Please comment or provide details below to improve the information on LIBERTY COUNTY HOSPITAL DISTRICT NO. 1.
| 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.