| NPI | 1164412615 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2005-10-26 |
| Last Updated | 2007-10-29 |
| Authorized Official | Peter Licari President of General Partner Phone: 2154417700 |
| Mailing Address | 200 Dryden Road, Suite 2000 Dresher, PA 19025 United States Phone: (215) 441-7700 | Fax: (215) 441-4255 📍 View Map |
| Primary Practice Address | 200 Sw 25th Ave Mineral Wells, TX 76067-8242 United States Phone: (940) 325-7813 | Fax: (940) 325-5680 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | TX | 001004190 | - |
| MEDICAID | TX | 004735 | - |
| MEDICAID | TX | 021619401 | - |
| MEDICAID | TX | 152993501 | - |
| MEDICAID | TX | 152993502 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 332BN1400X – Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies | TX | 121109 |
| No | 332BP3500X – Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | TX | 121109 |
| Yes | 314000000X – Skilled Nursing Facility | TX | 108630 |
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About NPI 1164412615
Palo Pinto Nursing Center, L.p. is an organization registered in the CMS NPPES NPI Registry with NPI number 1164412615. The primary specialty listed is Skilled Nursing Facility. The organization is located in Mineral Wells, TX. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-10-26. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1164412615?
NPI 1164412615 belongs to Palo Pinto Nursing Center, L.p., a Skilled Nursing Facility in Mineral Wells, TX. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1164412615 active?
The current status of NPI 1164412615 in the NPPES registry is Active. The record was last updated on 2007-10-29.
What specialty is NPI 1164412615?
NPI 1164412615 is classified under the taxonomy Skilled Nursing Facility. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1164412615?
You can verify NPI 1164412615 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1164412615?
The primary practice address on file for NPI 1164412615 is 200 Sw 25th Ave, Mineral Wells, TX 76067-8242. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1164412615 issued?
NPI 1164412615 was first issued (enumerated) on 2005-10-26. The NPPES record was last updated on 2007-10-29.
Practice Location Map
Palo Pinto Nursing Center, L.p. is located at 200 Sw 25th Ave, Mineral Wells, TX. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Palo Pinto Nursing Center, L.p.. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1164412615. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies | 121109 | TX |
| Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | 121109 | TX |
| Skilled Nursing Facility | 108630 | TX |