KING'S MANOR METHODIST RETIREMENT SYSTEM, INC. (NPI# 1912245051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912245051 |
| Entity Type | Organization |
| Organization Name | KING'S MANOR METHODIST RETIREMENT SYSTEM, INC. |
| Other Organization Name | KING'S MANOR HOME HEALTH |
| Practice Address |
426 Main St Ste E Hereford TX 79045-5300 |
| Mailing Address |
Po Box 1999 Hereford TX 79045-1999 |
| Practice Telephone | 8063636085 |
| Practice Fax Number | 8063636038 |
| Mailing Telephone | 8063640661 |
| Mailing Fax Number | 8063640675 |
| Enumeration Date | 2013-01-24 |
| Last Update Date | 2013-01-24 |
| Authorized Official Name | MRS. SHELLY OSBORN MOSS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8063640661 |
| Authorized Official Credential | MBA, LMSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Other Name | Type Code |
|---|---|
| King's Manor Home Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366496283 | King's Manor Methodist Retirement System, Inc. | Nursing Facility/Intermediate Care Facility | 400 Ranger Dr, Hereford, TX 79045-2812 | 2006-05-22 |
| 1417902016 | King's Manor Methodist Retirement System, Inc. | Hospice, Inpatient | 426 N Main St, Ste. E, Hereford, TX 79045-5359 | 2006-05-23 |
| Street Address |
426 MAIN ST STE E |
| City | HEREFORD |
| State | TX |
| Zip Code | 79045-5300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912014382 | Harold W Brigance | Optometrist | 426 Main St Ste E, Hereford, TX 79045-5300 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386848471 | Strategic Care of Hereford, LLC. | Skilled Nursing Facility | 231 Kingwood Street, Hereford, TX 79045 | 2007-06-12 |
| 1700965431 | Rick Roden Dds Inc | Dentist | 129 W 5th, Hereford, TX 79045 | 2006-11-03 |
| 1417054917 | Cvs Pharmacy Inc | Pharmacy | 101 West Park Ave, Hereford, TX 79045 | 2006-09-20 |
| 1396737466 | Carolyn S Jansa | Nurse Practitioner | 540 W. 15th Street, Hereford, TX 79045 | 2005-08-16 |
| 1376941682 | Kameshkumar Patel | Dentist | 701 N 25 Mile Ave, Smile Accent Pllc, Hereford, TX 79045 | 2014-12-18 |
| 1174782825 | Hereford Pharmacy, LLC | Pharmacy | 809 S 25 Mile Ave, Hereford, TX 79045 | 2008-06-07 |
| 1447392303 | Mary Jessica Mertins | Nurse Practitioner | 540 W. 15th Street, Hereford, TX 79045 | 2007-02-13 |
| 1780723791 | Trevor Rohm | Emergency Medicine | 540 W 15th St, Hereford, TX 79045 | 2007-02-06 |
| 1043273873 | Sean Daryl Wengroff | Obstetrics & Gynecology | 540 W 15th St, Hereford, TX 79045 | 2006-04-11 |
| 1285600957 | John E Hartin | Nurse Anesthetist, Certified Registered | 540 W 15th St, Hereford, TX 79045 | 2006-02-23 |
| Find all providers in zip 79045 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205023074 | Eldercare for Life Inc | Home Health | 4524 East Hereford Road, Hereford, AZ 85615-9283 | 2007-09-26 |
| 1174595458 | Deaf Smith County Hospital District | Home Health | 540 W 15th St, Hereford, TX 79045-2820 | 2006-02-02 |
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| 1487255394 | Flor De La Fe Home Health LLC | Home Health | 4804 Beaver Pond Dr, Brownsville, TX 78520-9225 | 2020-11-06 |
| 1700487527 | Nursing Companion Healthcare Services LLC | Home Health | 20115 Stanton Lake Dr, Cypress, TX 77433-2677 | 2020-11-06 |
| 1659972818 | Senior Care of North Texas LLC | Home Health | 113 N Commerce St Ofc B, Gainesville, TX 76240-3911 | 2020-11-04 |
| 1174124283 | Natasha Monique Miller | Home Health | 2503 Via Venicia Apt 3223, Fort Worth, TX 76109-6535 | 2020-11-04 |
| 1093316499 | Gold Standard Therapy, Pllc | Home Health | 102 Salinas Cv, Austin, TX 78738-1781 | 2020-11-03 |
| 1114528569 | Cedar Care LLC. | Home Health | 10906 Giffnock Dr, Richmond, TX 77407-1553 | 2020-11-03 |
| 1326648122 | Airmid Wellness Inc | Home Health | 9931 Chimney Swift Ln, Conroe, TX 77385-3838 | 2020-10-29 |
| 1003416009 | Healthwork Global Inc | Home Health | 9522 Matilda Creek Ct, Richmond, TX 77407-2519 | 2020-10-28 |
| 1982204327 | Kevin D Miller | Home Health | 4429 Sahara Pl, Fort Worth, TX 76115-3653 | 2020-10-26 |
| 1265032692 | Bless It Hands Residential Care LLC. | Home Health | 2122 Monteleon St, Grand Prairie, TX 75051-4169 | 2020-10-26 |
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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.