Permian Residential Care Center

LBN: Andrews County Hospital District
Permian Residential Care Center is an health care organization with primary practice located at 1601 Ne Mustang Dr , Andrews TX 79714-3647. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty. Andrews County Hospital District can be contacted via phone (432) 464-2430, or through Mason, Morgan Dyane via phone (432) 464-2107.

Contact Information

Primary practice address
1601 Ne Mustang Dr Andrews TX 79714-3647
Phone: (432) 464-2430
Fax: (432) 464-2572
Website:
Map and Directions
Authorized official contact:
Name: Mason, Morgan Dyane
Phone: (432) 464-2107

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 118750 Texas

Profile Details

NPI number 1811051964
LBN Legal business name Andrews County Hospital District
DBA Doing business as Permian Residential Care Center
Authorized official Mason, Morgan Dyane
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 21st, 2006
Last updated Jun 5th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811051964 NPPES
Texas MEDICAID 001004526

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