Lakeridge Rehabliltation And Nursing Center

LBN: Convacare Inc
Lakeridge Rehabliltation And Nursing Center is an health care organization with primary practice located at 4403 74Th St , Lubbock TX 79424-2307. 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. Convacare Inc can be contacted via phone (806) 795-0668, or through Ruble, Richard via phone (806) 780-7000.

Contact Information

Primary practice address
4403 74Th St Lubbock TX 79424-2307
Phone: (806) 795-0668
Fax: (806) 795-4250
Website:
Map and Directions
Authorized official contact:
Name: Ruble, Richard
Phone: (806) 780-7000

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 109070 Texas

Profile Details

NPI number 1821091968
LBN Legal business name Convacare Inc
DBA Doing business as Lakeridge Rehabliltation And Nursing Center
Authorized official Ruble, Richard
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2005
Last updated Apr 29th, 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 1821091968 NPPES
Texas MEDICAID 4942
Texas MEDICAID 001001028
Texas MEDICAID 171013901

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