LIBERTY COUNTY HOSPITAL DISTRICT NO. 1 (NPI# 1922260876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922260876 |
| Entity Type | Organization |
| Organization Name | LIBERTY COUNTY HOSPITAL DISTRICT NO. 1 |
| Other Organization Name | JEFFERSON NURSING AND REHABILITATION CENTER |
| Practice Address |
3840 Pointe Pkwy Beaumont TX 77706-2000 |
| Mailing Address |
101 W Goodwin Ave Ste 600 Victoria TX 77901-6502 |
| Practice Telephone | 4098926811 |
| Mailing Telephone | 3615760694 |
| Mailing Fax Number | 3615765484 |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2020-01-16 |
| Authorized Official Name | MR. C. BRUCE STRATTON (BOARD PRESIDENT) |
| Authorized Official Telephone | 9363367400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 313M00000X | Nursing Facility/Intermediate Care Facility | TX | Nursing & Custodial Care Facilities | |
| Y | 314000000X | Skilled Nursing Facility | TX | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 001026494 | 05 | |
| TX | 5547 | 05 | |
| TX | 360896001 | 05 |
| Other Name | Type Code |
|---|---|
| JEFFERSON NURSING AND REHABILITATION CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144769563 | Liberty County Hospital District No. 1 | Skilled Nursing Facility | 624 Fannin St, Liberty, TX 77575-4916 | 2017-02-17 |
| 1811358229 | Liberty County Hospital District No. 1 | Skilled Nursing Facility | 8902 West Rd, Houston, TX 77064-8635 | 2016-03-11 |
| 1326032186 | Liberty County Hospital District No. 1 | Skilled Nursing Facility | 246 Haley Dr, Center, TX 75935-9798 | 2005-09-08 |
| 1962496836 | Liberty County Hospital District No. 1 | Skilled Nursing Facility | 1203 Fm 1277, San Augustine, TX 75972-1635 | 2005-09-07 |
| 1639163595 | Liberty County Hospital District No. 1 | Skilled Nursing Facility | 4054 Nw Loop, Carthage, TX 75633-3346 | 2005-09-07 |
| 1457859589 | Liberty County Hospital District No. 1 | Skilled Nursing Facility | 2212 W Reagan St, Palestine, TX 75801-2222 | 2018-01-23 |
| 1487195095 | Liberty County Hospital District No. 1 | Skilled Nursing Facility | 624 Fannin St, Liberty, TX 77575-4916 | 2017-03-15 |
| 1871032292 | Liberty County Hospital District No. 1 | Skilled Nursing Facility | 624 Fannin St, Liberty, TX 77575-4916 | 2017-02-17 |
| 1912352766 | Liberty County Hospital District No. 1 | Skilled Nursing Facility | 1720 N Logan St, Texas City, TX 77590-4931 | 2016-04-29 |
| 1811371701 | Liberty County Hospital District No. 1 | Medicare Defined Swing Bed Unit | 1353 N Travis St, Liberty, TX 77575-3549 | 2015-07-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LIBERTY COUNTY HOSPITAL DISTRICT NO. 1 | 624 Fannin St, Liberty, TX 77575-4916 |
| Street Address |
3840 POINTE PKWY |
| City | BEAUMONT |
| State | TX |
| Zip Code | 77706-2000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225518434 | Kimberly Hudler | Speech-Language Pathologist | 3840 Pointe Pkwy, Beaumont, TX 77706-2000 | 2018-08-16 |
| 1306326673 | Ian Cabanlet | Clinic/Center | 3840 Pointe Pkwy, Beaumont, TX 77706 | 2018-08-16 |
| 1174003446 | Helen Kathleen Reyes | Speech-Language Pathologist | 3840 Pointe Pkwy, Beaumont, TX 77706-2000 | 2018-08-16 |
| 1386137578 | Regency Ihs of Jefferson LLC | Nursing Facility/Intermediate Care Facility | 3840 Pointe Pkwy, Beaumont, TX 77706-2000 | 2018-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982176293 | Allen Family Home Care LLC | In Home Supportive Care | 4055 Dowlen Rd Ste 112, Beaumont, TX 77706 | 2018-12-27 |
| 1730661174 | Joseph Pryor Ingram | Counselor | 5450 Folsom Road #3, Beaumont, TX 77706 | 2018-09-02 |
| 1336644582 | Jenny Lee Broaddus | Counselor | 8150 N. Major Dr., Beaumont, TX 77706 | 2018-03-29 |
| 1528584026 | Amanthia Peace Williams | Pedorthist | 3645 Calder Ave., Beaumont, TX 77706 | 2017-08-16 |
| 1356863286 | Nicole Denise Williams | Speech-Language Pathologist | 970 North 23rd Street, Beaumont, TX 77706 | 2017-07-12 |
| 1487038923 | Associates for Dental Health, Pllc | Dentist | 415 Dowlen Rd Ste A, Beaumont, TX 77706 | 2015-07-15 |
| 1508264532 | Rose Anne Essex | Dietitian, Registered | 3510 Charleston Ln, Beaumont, TX 77706 | 2014-12-08 |
| 1780001933 | C. Asteris, Inc. | Contractor | 1465 W. Lucas Dr., Beaumont, TX 77706 | 2014-03-26 |
| 1376985820 | Erica J Hayes M D P A | Preferred Provider Organization | 4a Bayou Brandt Drive, Beaumont, TX 77706 | 2013-07-25 |
| 1194162909 | Hezron Omanga | Pharmacist | 3585 N. Dowlen Road, Beaumont, TX 77706 | 2013-06-03 |
| Find all providers in zip 77706 | ||||
| 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 |
| 1750402236 | Ssc Beaumont Green Acres Operating Company LLC | Skilled Nursing Facility | 11025 Old Voth Rd, Beaumont, TX 77713-8613 | 2007-04-03 |
| 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 |
| 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.