MARINE CREEK NURSING AND REHABILITATION LP (NPI# 1871589648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871589648 |
| Entity Type | Organization |
| Organization Name | MARINE CREEK NURSING AND REHABILITATION LP |
| Practice Address |
3600 Angle Ave Fort Worth TX 76106-3559 |
| Mailing Address |
419 S Elm St Denton TX 76201-6085 |
| Practice Telephone | 8176246164 |
| Practice Fax Number | 8176247523 |
| Mailing Telephone | 9403874388 |
| Mailing Fax Number | 9403802410 |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2019-01-30 |
| Authorized Official Name | MR. DAN D. FLAGG (CEO) |
| Authorized Official Telephone | 9403874388 |
| 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 | 01004880 | 05 | |
| TX | TMHP (CROSSOVER) | 163345501 | 01 |
| Street Address |
3600 ANGLE AVE |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76106-3559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427693688 | Erica Daniels | Physical Therapy Assistant | 3600 Angle Ave, Fort Worth, TX 76106-3559 | 2019-11-12 |
| 1780165241 | Arlene Pricer | Physical Therapy Assistant | 3600 Angle Ave, Fort Worth, TX 76106-3559 | 2018-08-23 |
| 1720568819 | Travis Odell Russell Jr. | Physical Therapy Assistant | 3600 Angle Ave, Fort Worth, TX 76106-3559 | 2018-08-17 |
| 1104156173 | Katherine Courtney Thompson | Speech-Language Pathologist | 3600 Angle Ave, Fort Worth, TX 76106 | 2010-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215380985 | Irene Robyn Winnett | Counselor | 2907 Loving Ave, Fort Worth, TX 76106 | 2016-07-19 |
| 1568875706 | Valerie Freeman Biegon | Contractor | A La Mod Salon/ Vfb-lmt, 3900 Merrett Drive Suite B, Lake Worth, TX 76106 | 2014-06-05 |
| 1659555738 | Northside Adult Daycare Center, Inc. | Clinic/Center | 1401 Clinton Ave, Fort Worth, TX 76106 | 2007-12-24 |
| 1285755504 | Nortside Medical Clinic, P.a. | Family Medicine | 1600 25th Street, Suite B, Fort Worth, TX 76106 | 2007-04-03 |
| 1477607240 | H Pena Md North Main Medical and Surgical Clinic Assoc | General Practice | 3301 North Main Street, Fort Worth, TX 76106 | 2007-01-22 |
| 1093800153 | Jinat Corporation | Dentist | 1612 Nw 28th St, Fort Worth, TX 76106 | 2006-10-04 |
| 1568751006 | Elizabeth Rivera | Family Medicine | 3308 Deen Rd, Fort Worth, TX 76106 | 2011-04-05 |
| 1417066507 | Priyanka Kandhari | Dentist | 3308 Deen Rd, Fort Worth, TX 76106 | 2006-08-30 |
| 1417518648 | Kristina Lahti | Occupational Therapist | 4775 North Fwy, Fort Worth, TX 76106-2315 | 2019-06-27 |
| 1538773072 | Michael David Castillon | Behavior Technician | 4775 North Fwy, Fort Worth, TX 76106-2315 | 2020-09-02 |
| Find all providers in zip 76106 | ||||
| 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 |
|---|---|---|---|---|
| 1467973404 | Moc Fort Worth LLC | Skilled Nursing Facility | 6301 Oakmont Blvd, Fort Worth, TX 76132-2814 | 2017-06-29 |
| 1669929642 | Eastland Memorial Hospital District | Skilled Nursing Facility | 4240 Golden Triangle Boulevard, Fort Worth, TX 76244 | 2016-09-07 |
| 1326594052 | Stockyards Healthcare, Inc. | Skilled Nursing Facility | 6301 Oakmont Boulevard, Fort Worth, TX 76132 | 2016-09-01 |
| 1770972572 | Dallas County Hospital District | Skilled Nursing Facility | 7021 Bryant Irvin Rd, Fort Worth, TX 76132-4243 | 2015-01-15 |
| 1497172514 | Stephens Memorial Hospital District | Skilled Nursing Facility | 306 W 7th Strret Suite 430, Fort Worth, TX 76102 | 2014-03-26 |
| 1245662675 | Performance Care Centers LLC | Skilled Nursing Facility | 7021 Bryant Irvin Road, Fort Worth, TX 76132 | 2013-08-08 |
| 1881968808 | Fw Senior Community Ltd Co | Skilled Nursing Facility | 4600 Heritage Trace Pkwy, Fort Worth, TX 76244-8900 | 2012-03-08 |
| 1750679098 | Tarrant County Senior Living Center, Inc. | Skilled Nursing Facility | 2501 Museum Way, Fort Worth, TX 76107-3057 | 2011-07-20 |
| 1386949220 | Remarkable Healthcare of Fort Worth, Lp | Skilled Nursing Facility | 6649 North Riverside Drive, Fort Worth, TX 76137 | 2011-01-25 |
| 1679895163 | Decatur Hospital Authority | Skilled Nursing Facility | 850 12th Ave., Fort Worth, TX 76104-2516 | 2010-02-24 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76106 |
Please comment or provide details below to improve the information on MARINE CREEK NURSING AND REHABILITATION LP.
| 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.