DEWITT MEDICAL DISTRICT (NPI# 1932596343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932596343 |
Entity Type | Organization |
Organization Name | DEWITT MEDICAL DISTRICT |
Other Organization Name | WINDSOR CALALLEN |
Practice Address |
4162 Wildcat Dr Corpus Christi TX 78410-5100 |
Mailing Address |
101 W Goodwin Ave Ste 600 Victoria TX 77901-6502 |
Practice Telephone | 3615760694 |
Practice Fax Number | 3615765484 |
Mailing Telephone | 3615760694 |
Mailing Fax Number | 3615765484 |
Enumeration Date | 2015-04-23 |
Last Update Date | 2020-01-16 |
Authorized Official Name | MR. GREG PRITCHETT (CFO) |
Authorized Official Telephone | 3612750504 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 313M00000X | Nursing Facility/Intermediate Care Facility | Nursing & Custodial Care Facilities | ||
Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 106267 | 05 | |
TX | 366180301 | 05 | |
TX | 001027469 | 05 | |
TX | 5703 | 05 |
Other Name | Type Code |
---|---|
WINDSOR CALALLEN | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811357155 | Dewitt Medical District | Skilled Nursing Facility | 222 Bertetti Dr, San Antonio, TX 78227-3950 | 2016-02-29 |
1396144770 | Dewitt Medical District | Skilled Nursing Facility | 710 Highway 359 S, Brookshire, TX 77423 | 2014-08-21 |
1851629430 | Dewitt Medical District | Durable Medical Equipment & Medical Supplies | 5301 W Duval Rd, Austin, TX 78727-6618 | 2009-11-19 |
1396789491 | Dewitt Medical District | Skilled Nursing Facility | 208 Maple Street, Luling, TX 78648 | 2006-06-16 |
1861442469 | Dewitt Medical District | Nursing Facility/Intermediate Care Facility | 2735 Airline Road, Corpus Christi, TX 78414 | 2006-05-12 |
1841254174 | Dewitt Medical District | Nursing Facility/Intermediate Care Facility | 3130 S Brahma Blvd, Kingsville, TX 78363-7257 | 2006-04-13 |
1558331421 | Dewitt Medical District | Home Health | 615 N Esplanade St, Cuero, TX 77954 | 2006-01-24 |
1235671629 | Dewitt Medical District | Skilled Nursing Facility | 2 Towers Park Ln, San Antonio, TX 78209-6410 | 2016-11-16 |
1396296521 | Dewitt Medical District | Durable Medical Equipment & Medical Supplies | 2550 N Esplanade St, Cuero, TX 77954-4736 | 2016-10-24 |
1710348685 | Dewitt Medical District | Skilled Nursing Facility | 2003 W Hutchins Pl, San Antonio, TX 78224-1368 | 2016-03-18 |
Street Address |
4162 WILDCAT DR |
City | CORPUS CHRISTI |
State | TX |
Zip Code | 78410-5100 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114407947 | Pablo H Gonzales | Physical Therapy Assistant | 4162 Wildcat Dr, Corpus Christi, TX 78410-5100 | 2018-08-21 |
1518447358 | Esmeralda Gonzales | Occupational Therapy Assistant | 4162 Wildcat Dr, Corpus Christi, TX 78410-5100 | 2018-08-21 |
1851871180 | Monica Lizbeth Perez | Physical Therapy Assistant | 4162 Wildcat Dr, Corpus Christi, TX 78410-5100 | 2018-08-16 |
1790265122 | Luis Cruz Jr. | Occupational Therapy Assistant | 4162 Wildcat Dr, Corpus Christi, TX 78410-5100 | 2018-08-15 |
1083194427 | Tamara M Huerta | Physical Therapy Assistant | 4162 Wildcat Dr, Corpus Christi, TX 78410-5100 | 2018-08-15 |
1740769363 | Noe Garcia Jr. | Physical Therapy Assistant | 4162 Wildcat Dr, Corpus Christi, TX 78410 | 2018-08-14 |
1184104705 | Brenda Garcia | Speech-Language Pathologist | 4162 Wildcat Dr, Corpus Christi, TX 78410-5100 | 2018-08-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861006736 | Ifeyinwa B Nwolisa | Pharmacist | 4101 Ih 69, Suite C, Corpus Christi, TX 78410 | 2020-09-08 |
1417486333 | Calallen Dental & Orthodontics Pllc | Dentist | 14101 Northwest Blvd Ste 111, Corpus Christi, TX 78410 | 2017-06-05 |
1811395734 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 14017 Northest Blvd., Suite 109-b, Corpus Christi, TX 78410 | 2014-12-09 |
1811324841 | Nicholas S Baucum | Chiropractor | 14902 Trinity River Dr Ste 2, Corpus Christi, TX 78410 | 2013-10-04 |
1477865954 | Brett D Chapman | Dentist | 13725 Northwest Blvd., Medical Plaza 1, Ste. 1, Corpus Christi, TX 78410 | 2010-07-13 |
1063644227 | Professionals Inserting Central Catheters, Inc. | Registered Nurse | 4309 Lavaca River Ct, Corpus Christi, TX 78410 | 2009-08-20 |
1568639177 | Whisper Creek Adult Day Care, Inc. | Custodial Care Facility | 13665 Teague Lane, Corpus Christi, TX 78410 | 2008-05-13 |
1821143637 | Albert Henry Guzman | Durable Medical Equipment & Medical Supplies | 4613 Cornett Dr, Corpus Christi, TX 78410 | 2007-01-24 |
1083771026 | Erica Contreras | Physical Therapy Assistant | 13138 Leopard St, Corpus Christi, TX 78410 | 2007-01-02 |
1619065604 | John Theodore Thompson | Dentist | 4101 Us Hwy 77 Ste M 1a, Corpus Christi, TX 78410 | 2006-10-11 |
Find all providers in zip 78410 |
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 |
---|---|---|---|---|
1649578642 | Sqlc Senior Living Center At Corpus Christi, Inc. | Skilled Nursing Facility | 5857 Timbergate Dr, Corpus Christi, TX 78414-4234 | 2011-03-01 |
1245390780 | Pm Management-corpus Christi Nc LLC | Skilled Nursing Facility | 202 Fortune Dr, Corpus Christi, TX 78405-3919 | 2006-12-12 |
1518036987 | Ssc Nueces Retama LLC | Skilled Nursing Facility | 2322 Morgan Ave, Corpus Christi, TX 78405-1947 | 2006-11-07 |
1326071358 | Wooldridge Medical Investors, LLC | Skilled Nursing Facility | 7352 Wooldridge Rd, Corpus Christi, TX 78414-2807 | 2006-07-10 |
1538190582 | Life Care Centers of America, Inc. | Skilled Nursing Facility | 1101 S Alameda St, Corpus Christi, TX 78404-3256 | 2006-07-06 |
1316991391 | Bay Area Healthcare Group, Ltd. | Skilled Nursing Facility | 3315 South Alameda, Corpus Christi, TX 78411-1820 | 2006-05-22 |
1619964004 | Century-lynnhaven-geac,llc | Skilled Nursing Facility | 3030 Fig St, Corpus Christi, TX 78404-3834 | 2005-09-30 |
1134115918 | The Palms Nursing and Rehabilitation Lp | Skilled Nursing Facility | 5607 Everhart Rd, Corpus Christi, TX 78411-4904 | 2005-09-27 |
1174520225 | Ihs Acquisition No 140 Inc | Skilled Nursing Facility | 1314 3rd St, Corpus Christi, TX 78404-2208 | 2005-07-05 |
1578569158 | Fe Deere Inc | Skilled Nursing Facility | 801 Cantwell Ln, Corpus Christi, TX 78408-2605 | 2005-06-28 |
Find all providers in CORPUS CHRISTI |
City | CORPUS CHRISTI |
Zip Code | 78410 |
Please comment or provide details below to improve the information on DEWITT MEDICAL DISTRICT.
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.