TITUS COUNTY HOSPITAL DISTRICT (NPI# 1972902245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972902245 |
| Entity Type | Organization |
| Organization Name | TITUS COUNTY HOSPITAL DISTRICT |
| Other Organization Name | PINECREST NURSING & REHABILITATION CENTER |
| Practice Address |
3505 Old Jacksonvil Rd Tyler TX 75701-8510 |
| Practice Telephone | 9035612011 |
| Practice Fax Number | 9035348335 |
| Mailing Telephone | 9035612011 |
| Mailing Fax Number | 9035348335 |
| Enumeration Date | 2014-08-22 |
| Last Update Date | 2014-08-22 |
| Authorized Official Name | TERRY SCOGGIN (CFO) |
| Authorized Official Telephone | 9035776066 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 005181 | 05 |
| Other Name | Type Code |
|---|---|
| PINECREST NURSING & REHABILITATION CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750812921 | Titus County Hospital District | Clinic/Center | 2015 Mulberry Ave Ste 260, Mount Pleasant, TX 75455 | 2017-03-21 |
| 1841721016 | Titus County Hospital District | Clinic/Center | 2001 N Jefferson Ave Ste 210, Mount Pleasant, TX 75455-2390 | 2017-03-21 |
| 1982070595 | Titus County Hospital District | Clinic/Center | 1901 Mulberry Ave, Mount Pleasant, TX 75455-2369 | 2015-08-18 |
| 1497165724 | Titus County Hospital District | Clinic/Center | 2001 N Jefferson Ave Ste 204a, Mount Pleasant, TX 75455-2300 | 2014-05-08 |
| 1114344520 | Titus County Hospital District | Clinic/Center | 2001 N Jefferson Ave Ste 202a, Mount Pleasant, TX 75455-2309 | 2014-03-24 |
| 1922422401 | Titus County Hospital District | Clinic/Center | 2001 N Jefferson Ave Ste 100, Mount Pleasant, TX 75455-1104 | 2014-02-05 |
| 1588917694 | Titus County Hospital District | Clinic/Center | 1610 S Jefferson Ave, Mount Pleasant, TX 75455 | 2012-10-26 |
| 1114548211 | Titus County Hospital District | Clinic/Center | 1610 S Jefferson Ave, Mount Pleasant, TX 75455-5614 | 2020-04-29 |
| 1013538321 | Titus County Hospital District | Clinic/Center | 1402 Linda Dr, Daingerfield, TX 75638-2132 | 2020-04-28 |
| 1699327148 | Titus County Hospital District | Clinic/Center | 2001 N Jefferson Ave Ste 204b, Mount Pleasant, TX 75455-2310 | 2019-07-15 |
| Street Address |
3505 OLD JACKSONVIL RD |
| City | TYLER |
| State | TX |
| Zip Code | 75701-8510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962057059 | Gonzalo Fernandez | Physical Therapy Assistant | 753 S Beckham Ave, Tyler, TX 75701 | 2019-08-06 |
| 1215422654 | Adrianna Bussell | Nurse Practitioner | 1000 South Beckham, Tyler, TX 75701 | 2018-06-28 |
| 1285128017 | Idowu Akintokunbo Akinyele | Dentist | Aspen Dental, 4164 S Broadway Ave, Tyler, TX 75701 | 2018-06-15 |
| 1992208912 | Heather Renee Vancleave | Occupational Therapy Assistant | 1228 Louann Lane, Tyler, TX 75701 | 2018-03-15 |
| 1497260533 | Smile Workshop Mckinney, Pllc | Dentist | 301 N. Custer Rd, Mckinney, TX 75701 | 2017-12-12 |
| 1396266441 | Eye Surgery Center of East Texas, Pllc | Clinic/Center | 2448 E 5th St, Tyler, TX 75701 | 2017-06-29 |
| 1962936369 | Collins Complete Family Care | Nurse Practitioner | 1910 E Se Loop 323 # 176, Tyler, TX 75701 | 2017-04-12 |
| 1386187052 | Fellowship Health Team LLC | Home Health | 1124 S Fleishel Ave, Tyler, TX 75701 | 2016-11-29 |
| 1205382454 | Brenton Robinson | Nurse Practitioner | 1100 East Lake St, 160, Tyler, TX 75701 | 2016-08-28 |
| 1851846208 | Care First Pharmacy, LLC | Pharmacy | 1910 Roseland Blvd A, Tyler, TX 75701 | 2016-08-15 |
| Find all providers in zip 75701 | ||||
| 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 |
|---|---|---|---|---|
| 1396291969 | The Center At Grande, LLC | Skilled Nursing Facility | 3219 East Grande Blvd, Tyler, TX 75707 | 2016-09-01 |
| 1104249317 | Rehab Pro Lp | Skilled Nursing Facility | 17521 Us Highway 69 S Ste 120, Tyler, TX 75703-5376 | 2014-01-23 |
| 1801228986 | Touchstone Strategies - Tyler LLC | Skilled Nursing Facility | 2650 Elkton Trl, Tyler, TX 75703-0580 | 2013-07-31 |
| 1790004679 | Touchstone Strategies, LLC | Skilled Nursing Facility | 2650 Elkton Trail, Tyler, TX 75703 | 2010-05-18 |
| 1255654133 | Sears Tyler Methodist Retirement Corporation | Skilled Nursing Facility | 16044 County Road 165, Tyler, TX 75703-7302 | 2010-03-08 |
| 1982886578 | Hsmtx Waterton Plaza, LLC | Skilled Nursing Facility | 2875 Shiloh Rd, Tyler, TX 75703-2936 | 2007-12-05 |
| 1477694545 | Azalea Place Operating Company | Skilled Nursing Facility | 810 S Porter Ave, Tyler, TX 75701-2300 | 2007-02-09 |
| 1629135975 | Park Place Tyler Healthcare, LLC | Skilled Nursing Facility | 2450 E 5th St, Tyler, TX 75701-3525 | 2007-01-03 |
| 1477610814 | Melrose Hcc, LLC | Skilled Nursing Facility | 1501 W 29th St, Tyler, TX 75702-1404 | 2007-01-03 |
| 1770649659 | Hsmtx/reunion Plaza, LLC | Skilled Nursing Facility | 1401 Rice Rd, Tyler, TX 75703-3233 | 2006-12-28 |
| Find all providers in TYLER | ||||
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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.