SOMERVELL COUNTY HOSPITAL AUTHORITY (NPI# 1770812646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770812646 |
Entity Type | Organization |
Organization Name | SOMERVELL COUNTY HOSPITAL AUTHORITY |
Other Organization Name | GLEN ROSE NURSING AND REHAB CENTER |
Practice Address |
1021 Holden St Glen Rose TX 76043-4937 |
Practice Telephone | 2548971448 |
Practice Fax Number | 2548971486 |
Mailing Telephone | 2548971448 |
Mailing Fax Number | 2548971486 |
Enumeration Date | 2009-12-23 |
Last Update Date | 2010-01-20 |
Authorized Official Name | MR. DAVID H. DENNIS (LNFA) |
Authorized Official Telephone | 2548971448 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities | ||
Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 125688 | TX | Nursing & Custodial Care Facilities |
Other Name | Type Code |
---|---|
Glen Rose Nursing and Rehab Center | Doing Business As Name - Organization |
Street Address |
1021 HOLDEN ST |
City | GLEN ROSE |
State | TX |
Zip Code | 76043-4937 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255315131 | Kevin Andrew Crawford | Nurse Anesthetist, Certified Registered | 1021 Holden St, Glen Rose, TX 76043-4937 | 2005-12-03 |
1366918542 | Tammie Apodaca | Speech-Language Pathologist | 1021 Holden St, Glen Rose, TX 76043-4937 | 2018-10-16 |
1962986125 | Ashleigh Megan Stegall | Speech-Language Pathologist | 1021 Holden St, Glen Rose, TX 76043-4937 | 2018-09-24 |
1487136982 | Joel Tyler | Physical Therapy Assistant | 1021 Holden St, Glen Rose, TX 76043-4937 | 2018-08-30 |
1528549052 | Kali Jan Fehler | Skilled Nursing Facility | 1021 Holden St, Glen Rose, TX 76043-4937 | 2018-08-23 |
1144700915 | Carla Denise Champion | Occupational Therapy Assistant | 1021 Holden St, Glen Rose, TX 76043-4937 | 2018-08-21 |
1205316924 | Laura Jean Ward | Physical Therapy Assistant | 1021 Holden St, Glen Rose, TX 76043-4937 | 2018-08-21 |
1861864472 | Libra Emergency Physicians, Pllc | Emergency Medicine | 1021 Holden St, Glen Rose, TX 76043-4937 | 2015-10-22 |
1144507542 | Fossil Rim Emergency Physicians Pllc | Emergency Medicine | 1021 Holden St, Glen Rose, TX 76043-4937 | 2011-11-14 |
1568574291 | Somervell County Hospital District | General Acute Care Hospital | 1021 Holden St, Glen Rose, TX 76043-4937 | 2006-08-31 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538760137 | Stefani Stovall | Speech-Language Pathologist | 203 Bo Gibbs Blvd, Glen Rose, TX 76043 | 2020-11-02 |
1235620691 | Charis Psychological Services & Christian Counseling, Pllc | Psychologist | 1100 Fm 56, Glen Rose, TX 76043 | 2018-05-22 |
1801125646 | Melinda Gaye Lewis | Counselor | 1104 Hereford St, Glen Rose, TX 76043 | 2009-12-07 |
1528291614 | Angela Adams | Pharmacist | 906 N.e. Big Bend Trail, Glen Rose, TX 76043 | 2009-08-24 |
1386829281 | Mark Allen Fanning | Specialist/Technologist, Other | 408 Glennwood, Glenn Rose, TX 76043 | 2008-01-09 |
1124235353 | Glen Rose Isd | Local Education Agency (LEA) | 201 Allen Lane, Glen Rose, TX 76043 | 2007-05-17 |
1558495333 | Schmidt Medical Clinic, Pa | Family Medicine | 1008 N E Big Bend Trl, Glen Rose, TX 76043 | 2007-03-15 |
1386712701 | Best Value Pharmacies, Inc. | Pharmacy | 1100 Bluebonnet, Glen Rose, TX 76043 | 2006-12-01 |
1497831432 | C Jeffrey Bise | Counselor | 409 Glenwood St., Ste 500, Glen Rose, TX 76043 | 2006-10-31 |
1912016106 | County of Somervell | Emergency Medical Technician, Paramedic | 111 Sheppard Street, Glen Rose, TX 76043 | 2006-08-30 |
Find all providers in zip 76043 |
Taxonomy Code | 313M00000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Nursing Facility/Intermediate Care Facility |
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578571808 | Glen Rose Medical Center Nursing Home, LLC | Nursing Facility/Intermediate Care Facility | 1021 Holden St., Glen Rose, TX 76043-2099 | 2006-08-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922660471 | Castro County Hospital District | Nursing Facility/Intermediate Care Facility | 701 Butler Blvd, Dimmitt, TX 79027-2720 | 2019-07-05 |
1023674520 | Eunice Nadine Hall | Nursing Facility/Intermediate Care Facility | 110 W. Troupe St, Mabank, TX 75147-8651 | 2019-05-10 |
1467945626 | Regency Ihs of Windsor Mission Oaks LLC | Nursing Facility/Intermediate Care Facility | 3030 S Roosevelt Ave, San Antonio, TX 78214-2337 | 2018-06-12 |
1508363086 | Solomon Ishaq | Nursing Facility/Intermediate Care Facility | 1818 Arundel Dr, Carrollton, TX 75007-3012 | 2018-04-10 |
1740798651 | Mission Valley Nursing and Transitional Care LLC | Nursing Facility/Intermediate Care Facility | 1200 S Bryan Rd, Mission, TX 78572-6840 | 2018-01-12 |
1841738580 | Su Casa Adult Foster Home | Nursing Facility/Intermediate Care Facility | 12462 Paseo De Arco Ct, El Paso, TX 79928-5669 | 2017-02-02 |
1225402753 | West Wharton County Hospital District | Nursing Facility/Intermediate Care Facility | 248 Wisteria Ln, El Campo, TX 77437-2545 | 2015-11-20 |
1447635040 | Sarah Padlan I | Nursing Facility/Intermediate Care Facility | 3808 Veterans Blvd, Studio 6, Del Rio, TX 78840-2859 | 2015-07-23 |
1902289358 | Fnu Anushree | Nursing Facility/Intermediate Care Facility | 328 Bedford Rd Apt 247, Bedford, TX 76022-8032 | 2015-07-02 |
1699154278 | Royal Manor Care Center, Inc. | Nursing Facility/Intermediate Care Facility | 4545 S Buckner Blvd, Dallas, TX 75227-4207 | 2015-05-28 |
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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.