Gardendale Health & Rehabilitation Center

LBN: Gardendale Rehabilitation & Nursing Center, L.P.
Gardendale Health & Rehabilitation Center is an health care organization with primary practice located at 1521 E. Rusk , Jacksonville TX 75766-0911. 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. Gardendale Rehabilitation & Nursing Center, L.P. can be contacted via phone (903) 586-3626, or through Licari, Peter J via phone (215) 441-7700.

Contact Information

Primary practice address
1521 E. Rusk Jacksonville TX 75766-0911
Phone: (903) 586-3626
Fax: (903) 586-2133
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 115251 Texas
Suppliers / Nursing Facility Supplies 332BN1400X 115251 Texas
Suppliers / Parenteral & Enteral Nutrition 332BP3500X 115251 Texas

Profile Details

NPI number 1659361251
LBN Legal business name Gardendale Rehabilitation & Nursing Center, L.P.
DBA Doing business as Gardendale Health & Rehabilitation Center
Authorized official Licari, Peter J
Entity Organization
Organization subpart 1 No
Enumeration date Oct 25th, 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 1659361251 NPPES
Texas MEDICAID 004986

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