SSC BEAUMONT GREEN ACRES OPERATING COMPANY LLC (NPI# 1750402236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750402236 |
| Entity Type | Organization |
| Organization Name | SSC BEAUMONT GREEN ACRES OPERATING COMPANY LLC |
| Other Organization Name | PINE FOREST NURSING AND REHABILITATION CENTER |
| Practice Address |
11025 Old Voth Rd Beaumont TX 77713-8613 |
| Mailing Address |
5300 W Sam Houston Pkwy N Suite 100 Houston TX 77041-5161 |
| Practice Telephone | 4098929722 |
| Mailing Telephone | 8324676000 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2013-09-23 |
| Authorized Official Name | THOMAS P. SIMONS (SENIOR VP OPERATIONS FINANCE) |
| Authorized Official Telephone | 7708295100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 117815 | TX | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 001013497 | 05 |
| Other Name | Type Code |
|---|---|
| Pine Forest Nursing and Rehabilitation Center | Doing Business As Name - Organization |
| Street Address |
11025 OLD VOTH RD |
| City | BEAUMONT |
| State | TX |
| Zip Code | 77713-8613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770141327 | Beaumont Urgent Care Management Partners, LLC | Clinic/Center | 3650 N. Major Dr., Suite A, Beaumont, TX 77713 | 2019-05-30 |
| 1518233485 | Jennifer Price | Technician | 7495 Westhaven, Beaumont, TX 77713 | 2012-03-26 |
| 1861535452 | Leila Elizabeth Cleveland | Audiologist | 6270 Phelan Blvd, Beaumont, TX 77713 | 2007-02-14 |
| 1821190851 | Austin A Barnett Dds PC | Dentist | 7985 Hwy 105, Beaumont, TX 77713 | 2006-09-01 |
| 1316051238 | Golden Triangle Living Centers Inc | Intermediate Care Facility, Mentally Retarded | 10980 Pinehaven, Beaumont, TX 77713 | 2006-08-18 |
| 1982718805 | Golden Triangle Living Centers Inc | Intermediate Care Facility, Mentally Retarded | 11510 Loop Road, Beaumont, TX 77713 | 2006-08-18 |
| 1417567934 | Cassandra Covington Dewall | Counselor | 8150 N. Major Dr., Beaumont, TX 77713 | 2020-08-10 |
| 1568598142 | Lee Haak Md Pa | Family Medicine | 5875 N Major Dr, Ste 134, Beaumont, TX 77713 | 2007-02-26 |
| 1508485251 | Setx Healthcare Partners LLC | Clinic/Center | 3255 N Major Dr Ste F, Beaumont, TX 77713-1034 | 2020-04-13 |
| 1972141158 | Lisa Marie Davila | Nurse Practitioner | 14870 Michelle Ln, Beaumont, TX 77713-2308 | 2019-12-18 |
| Find all providers in zip 77713 | ||||
| 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 |
|---|---|---|---|---|
| 1093216988 | Moc Beaumont, LLC | Skilled Nursing Facility | 2665 N 11th St, Beaumont, TX 77703-4605 | 2018-02-26 |
| 1376963785 | Beaumont Manor LLC | Skilled Nursing Facility | 1441 N Michigan Ave, Beaumont, CA 92223-1728 | 2014-04-24 |
| 1174769483 | Cleburne Country LLC | Skilled Nursing Facility | 2485 S. Major Drive, Beaumont, TX 77707-5019 | 2008-12-17 |
| 1326141557 | Liberty County Hospital District No 1 | Skilled Nursing Facility | 4150 College St, Beaumont, TX 77707-3902 | 2006-09-06 |
| 1699877449 | Hsmtx/lindbergh-beaumont, LLC | Skilled Nursing Facility | 795 Lindbergh Dr, Beaumont, TX 77707 | 2006-09-02 |
| 1689608614 | Buckner Retirement Services, Inc. | Skilled Nursing Facility | 7080 Calder Ave, Beaumont, TX 77706-6052 | 2006-07-10 |
| 1346204633 | Pinnacle Health Facilities of Texas Xi Lp | Skilled Nursing Facility | 4195 Milam St, Beaumont, TX 77707-3918 | 2006-04-13 |
| 1134101553 | Winnie-stowell Hospital District | Skilled Nursing Facility | 1020 S 23rd St, Beaumont, TX 77707-4202 | 2005-11-20 |
| 1598746182 | David Kleis II, LLC | Skilled Nursing Facility | 1665 E 8th St, Beaumont, CA 92223-2512 | 2005-11-09 |
| 1700867389 | David Kleis, Inc. | Skilled Nursing Facility | 1441 Michigan Ave, Beaumont, CA 92223-1728 | 2005-11-09 |
| Find all providers in BEAUMONT | ||||
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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.