Clyde Nursing Center

LBN: Clyde Nursing Center, L.P
Clyde Nursing Center is an health care organization with primary practice located at 806 Stephens St , Clyde TX 79510-4554. The organization recently has 3 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Skilled Nursing Facility, Suppliers / Nursing Facility Supplies, Suppliers / Parenteral & Enteral Nutrition. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Clyde Nursing Center, L.P can be contacted via phone (325) 893-4288, or through Licari, Peter J via phone (215) 441-7700.

Contact Information

Primary practice address
806 Stephens St Clyde TX 79510-4554
Phone: (325) 893-4288
Fax: (325) 893-2568
Website:
Map and Directions
Authorized official contact:
Name: Licari, Peter J
Phone: (215) 441-7700

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 108904 Texas
Suppliers / Nursing Facility Supplies 332BN1400X 114462 Texas
Suppliers / Parenteral & Enteral Nutrition 332BP3500X 114462 Texas

Profile Details

NPI number 1730177718
LBN Legal business name Clyde Nursing Center, L.P
DBA Doing business as Clyde Nursing Center
Authorized official Licari, Peter J
Entity Organization
Organization subpart 1 No
Enumeration date Oct 12th, 2005
Last updated Oct 26th, 2007 - about 18 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 1730177718 NPPES
Texas MEDICAID 004395

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