NACOGDOCHES COUNTY HOSPITAL DISTRICT (NPI# 1871981019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871981019 |
| Entity Type | Organization |
| Organization Name | NACOGDOCHES COUNTY HOSPITAL DISTRICT |
| Other Organization Name | HERITAGE AT LONGVIEW HEALTHCARE CENTER |
| Practice Address |
112 Ruthlynn Dr Longview TX 75605-5634 |
| Mailing Address |
1204 N Mound St Nacogdoches TX 75961-4027 |
| Practice Telephone | 9037538611 |
| Practice Fax Number | 9037584026 |
| Mailing Telephone | 9365688523 |
| Mailing Fax Number | 9365688588 |
| Enumeration Date | 2014-12-22 |
| Last Update Date | 2017-07-14 |
| Authorized Official Name | RONALD R PAYNE (MANAGER) |
| Authorized Official Telephone | 4699166100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 136092 | TX | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 005129 | 05 |
| Other Name | Type Code |
|---|---|
| Heritage at Longview Healthcare Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306026729 | Nacogdoches County Hospital District | Skilled Nursing Facility | 5915 Elysian Fields Road, Marshall, TX 75672-2083 | 2007-11-14 |
| 1831192368 | Nacogdoches County Hospital District | Skilled Nursing Facility | 451 S El Camino Xing, San Augustine, TX 75972-1666 | 2005-05-30 |
| 1568902294 | Nacogdoches County Hospital District | Skilled Nursing Facility | 1204 N Mound St, Nacogdoches, TX 75961-4027 | 2017-02-28 |
| 1669912564 | Nacogdoches County Hospital District | Skilled Nursing Facility | 1204 N Mound St, Nacogdoches, TX 75961-4027 | 2017-02-27 |
| 1053711804 | Nacogdoches County Hospital District | Pathology | 1204 N Mound St, Nacogdoches, TX 75961 | 2014-08-29 |
| 1093131476 | Nacogdoches County Hospital District | Skilled Nursing Facility | 810 Bellaire St, Jacksonville, TX 75766-9045 | 2014-03-10 |
| 1487992889 | Nacogdoches County Hospital District | Skilled Nursing Facility | 12520 Fm 1840, De Kalb, TX 75559-1929 | 2013-01-21 |
| 1326182197 | Nacogdoches County Hospital District | Clinic/Center | 1204 N Mound St, Nacogdoches, TX 75961-4027 | 2007-02-16 |
| 1881738607 | Nacogdoches County Hospital District | Clinic/Center | 1204 N Mound St, Nacogdoches, TX 75961-4027 | 2007-02-16 |
| 1588708341 | Nacogdoches County Hospital District | Clinic/Center | 1204 N Mound St, Nacogdoches, TX 75961-4027 | 2007-02-16 |
| Street Address |
112 RUTHLYNN DR |
| City | LONGVIEW |
| State | TX |
| Zip Code | 75605-5634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346241320 | Ihs Acquisition No 138 Inc | Skilled Nursing Facility | 112 Ruthlynn Dr, Longview, TX 75605-5634 | 2005-08-02 |
| 1508346255 | Natasha Taylor | Physical Therapy Assistant | 112 Ruthlynn Dr, Longview, TX 75605-5634 | 2018-08-21 |
| 1659851301 | Jessica Mancha | Speech-Language Pathologist | 112 Ruthlynn Dr, Longview, TX 75605-5634 | 2018-08-21 |
| 1750861498 | Phyllis Jordan | Occupational Therapy Assistant | 112 Ruthlynn Dr, Longview, TX 75605 | 2018-08-21 |
| 1164902813 | Heather Swingler | Physical Therapy Assistant | 112 Ruthlynn Dr, Longview, TX 75605-5634 | 2018-08-21 |
| 1457858755 | Lori Reeves Np-c Pllc | Nurse Practitioner | 112 Ruthlynn Dr, Longview, TX 75605-5634 | 2018-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194353730 | Dusty Rae Hane | Nurse Practitioner | Diagnostic Clinic of Longview, 2901 N Fourth St, Longview, TX 75605 | 2020-03-30 |
| 1831720374 | Kaycee Whatley | Nurse Practitioner | 323 W Hawkins Parkway, Longview, TX 75605 | 2020-02-03 |
| 1245733492 | Somers Pediatrics | Pediatrics | 103 W. Loop 281, Suite 474, Longview, TX 75605 | 2018-03-14 |
| 1467838391 | Piney Woods Er II LLC | Clinic/Center | 120 East Loop 281, Longview, TX 75605 | 2015-08-03 |
| 1386023968 | Elizabeth Ann Heeb Tidwell | Obstetrics & Gynecology | 802 Medical Dr Ste 100, Longview, TX 75605 | 2015-05-28 |
| 1215353651 | Tracy Hicks | Nurse Practitioner | 102 Commander Dr Ste 9, Longview, TX 75605 | 2014-03-10 |
| 1073881280 | Deirdre Scotter | Specialist/Technologist | 201 E Tomlinson Pkwy, Longview, TX 75605 | 2011-12-02 |
| 1316230139 | Traditions Hospice of Longview, LLC | Hospice Care, Community Based | 4362 N Us Hwy 259, Suite B, Longview, TX 75605 | 2011-05-26 |
| 1184916769 | Telema Dikibujiri Nga | Pediatrics | Longview Regional Medical Center, 2901 North Fourth Street, Longview, TX 75605 | 2011-05-13 |
| 1902101108 | The Veta Lewis Behavioral Health Group | Counselor | 1800 S. Judson St., Suite 100, Longview, TX 75605 | 2011-01-19 |
| Find all providers in zip 75605 | ||||
| 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 |
|---|---|---|---|---|
| 1659756047 | Gruenepointe 1 Longview, LLC | Skilled Nursing Facility | 2131 Alpine Rd, Longview, TX 75601-3402 | 2015-07-27 |
| 1861818635 | Hopkins County Hospital District | Skilled Nursing Facility | 1154 E Hawkins Pkwy, Longview, TX 75605-7975 | 2014-03-17 |
| 1689840266 | Legacy Healthcare Services, Inc. | Skilled Nursing Facility | 1517 Edna Ln, Longview, TX 75602-4915 | 2008-05-05 |
| 1063571552 | Buckner Retirement Services, Inc | Skilled Nursing Facility | 2201 Horseshoe Ln, Longview, TX 75605-5650 | 2006-12-08 |
| 1487600706 | Hopkins County Hospital District | Skilled Nursing Facility | 3201 4th St, Longview, TX 75605-5145 | 2006-05-26 |
| 1750335345 | Linderian Company, Ltd | Skilled Nursing Facility | 301 Hollybrook Dr, Longview, TX 75605-2461 | 2006-05-19 |
| 1437117272 | Longview I Enterprises, LLC | Skilled Nursing Facility | 2711 Pine Tree Rd, Longview, TX 75604-1646 | 2006-05-02 |
| 1659337384 | Whispering Pines Lodge Illp | Skilled Nursing Facility | 2131 Alpine Road, Longview, TX 75601 | 2006-04-21 |
| 1437125937 | Clairmont Longview, Lp | Skilled Nursing Facility | 3201 N 4th St, Longview, TX 75605-5145 | 2006-02-24 |
| 1578551768 | Highland Pines Nursing Home, Ltd | Skilled Nursing Facility | 1100 N 4th St, Longview, TX 75601-4739 | 2005-10-11 |
| Find all providers in LONGVIEW | ||||
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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.