Cypress Glen East Nursing & Rehab

LBN: Blended Health Llc
Cypress Glen East Nursing & Rehab is an health care organization with primary practice located at 4225 Lake Arthur Dr , Port Arthur TX 77642-6490. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Blended Health Llc can be contacted via phone (409) 727-3193, or through Moore, James W via phone (409) 962-0910.

Contact Information

Primary practice address
4225 Lake Arthur Dr Port Arthur TX 77642-6490
Phone: (409) 727-3193
Fax: (409) 727-4777
Website:
Map and Directions
Authorized official contact:
Name: Moore, James W
Phone: (409) 962-0910

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 113493 Texas

Profile Details

NPI number 1134104631
LBN Legal business name Blended Health Llc
DBA Doing business as Cypress Glen East Nursing & Rehab
Authorized official Moore, James W
Entity Organization
Organization subpart 1 No
Enumeration date Dec 7th, 2005
Last updated May 28th, 2010 - about 14 years ago

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 1134104631 NPPES
Texas MEDICAID 001012145

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