LIBERTY COUNTY HOSPITAL DISTRICT NO. 1 (NPI# 1962496836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962496836 |
| Entity Type | Organization |
| Organization Name | LIBERTY COUNTY HOSPITAL DISTRICT NO. 1 |
| Other Organization Name | COLONIAL PINES HEALTHCARE CENTER |
| Practice Address |
1203 Fm 1277 San Augustine TX 75972-1635 |
| Mailing Address |
1500 Waters Ridge Dr Suite 200 Lewisville TX 75057-6011 |
| Practice Telephone | 9362753412 |
| Practice Fax Number | 9362755394 |
| Mailing Telephone | 9728994401 |
| Mailing Fax Number | 9728994460 |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2017-02-17 |
| Authorized Official Name | C. BRUCE STRATTON (BOARD PRESIDENT) |
| Authorized Official Telephone | 9363367400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 116419 | TX | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICAID CO B | 148994001 | 01 |
| TX | 001003341 | 05 |
| Other Name | Type Code |
|---|---|
| Colonial Pines Healthcare 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 |
| 1922260876 | Liberty County Hospital District No. 1 | Nursing Facility/Intermediate Care Facility | 3840 Pointe Pkwy, Beaumont, TX 77706-2000 | 2008-07-01 |
| 1326032186 | Liberty County Hospital District No. 1 | Skilled Nursing Facility | 246 Haley Dr, Center, TX 75935-9798 | 2005-09-08 |
| 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 |
1203 FM 1277 |
| City | SAN AUGUSTINE |
| State | TX |
| Zip Code | 75972-1635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295215010 | Curtis Leon Pillow Jr. | Physical Therapy Assistant | 1203 Fm 1277, San Augustine, TX 75972-1635 | 2018-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861619801 | Kim Marie Laird | Physical Therapy Assistant | Rt. 1 Box 725 Hwy 96 South, San Augustine, TX 75972 | 2007-04-19 |
| 1356465447 | D & H Enterprises | Assisted Living Facility | 1997 Davidson Drive, San Augustine, TX 75972 | 2007-03-16 |
| 1417052036 | Charles K Layton | Dentist | Rt 5 Box 723d, San Augustine, TX 75972 | 2006-09-14 |
| 1578547345 | Memorial Medical Center- San Augustine | General Acute Care Hospital | 511 Hospital St, San Augustine, TX 75972 | 2005-12-05 |
| 1548363526 | Memorial Medical Center-san Augustine | General Acute Care Hospital | 511 Hospital St, San Augustine, TX 75972 | 2006-09-06 |
| 1609953744 | Mathews Rental Inc | Durable Medical Equipment & Medical Supplies | 112 W Columbia Street, San Augustine, TX 75972-0207 | 2006-11-01 |
| 1033774906 | Kaneitra Nicole Garrett | Licensed Vocational Nurse | 924 Oliver St, San Augustine, TX 75972-1042 | 2019-05-07 |
| 1366842478 | Rebecca Hubbard | Specialist/Technologist | 805 N Milam St, A, San Augustine, TX 75972-1413 | 2014-08-26 |
| 1831192368 | Nacogdoches County Hospital District | Skilled Nursing Facility | 451 S El Camino Xing, San Augustine, TX 75972-1666 | 2005-05-30 |
| 1629559190 | Lindsey Blackshear | Occupational Therapy Assistant | 451 S El Camino Xing, San Augustine, TX 75972-1666 | 2018-08-23 |
| Find all providers in zip 75972 | ||||
| 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 |
|---|---|---|---|---|
| 1962492777 | Trinity R&r I Lp | Skilled Nursing Facility | 902 E Main St, San Augustine, TX 75972-2316 | 2005-10-24 |
| 1831192368 | Nacogdoches County Hospital District | Skilled Nursing Facility | 451 S El Camino Xing, San Augustine, TX 75972-1666 | 2005-05-30 |
| 1730630831 | Summit Ltc San Augustine, LLC | Skilled Nursing Facility | 902 E Main St, San Augustine, TX 75972-2316 | 2016-10-24 |
| 1205145968 | Trinity Nursing and Rehabilitation, Lp | Skilled Nursing Facility | 902 E Main St, San Augustine, TX 75972-2316 | 2010-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285233171 | Center At Zaragoza, LLC | Skilled Nursing Facility | 12660 Pebble Hills Blvd., El Paso, TX 79936 | 2020-10-21 |
| 1609473362 | Touchstone Strategies - Penitas, LLC | Skilled Nursing Facility | 414 Liberty Blvd., Penitas, TX 78576 | 2020-10-06 |
| 1649884313 | Springtown Ventures Lp | Skilled Nursing Facility | 201 Williams Ward Rd., Springtown, TX 76082 | 2020-09-01 |
| 1821601691 | Altamira Healthcare LLC | Skilled Nursing Facility | 200 Carla St, Zapata, TX 78076-3114 | 2020-08-31 |
| 1538770839 | Go Operations 3 LLC | Skilled Nursing Facility | 4366 Lockhill Selma, Shavano, TX 78249 | 2020-08-11 |
| 1912516329 | Patriot Skilled Nursing and Rehabilitation LLC | Skilled Nursing Facility | 11490 Gateway N Blvd., El Paso, TX 79934 | 2020-07-31 |
| 1972112464 | The Brixton At Horseshoe Bay | Skilled Nursing Facility | 15101 West Fm 2147, Horseshoe Bay, TX 78657 | 2020-07-30 |
| 1558984278 | Slp Johnson City LLC | Skilled Nursing Facility | 206 Haley Rd, Johnson City, TX 78636-4617 | 2020-05-28 |
| 1073136149 | Continuum Rehab Group | Skilled Nursing Facility | 3326 Burgoyne St # 1432, Dallas, TX 75233-1304 | 2020-05-24 |
| 1750904264 | Frank Villanueva | Skilled Nursing Facility | 711 W Broadway St, Denver City, TX 79323-3000 | 2020-05-19 |
| Find all providers with the same taxonomy | ||||
| City | SAN AUGUSTINE |
| Zip Code | 75972 |
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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.