Park Haven Nursing And Rehabilitation

LBN: Greenville I Enterprises Llc
Park Haven Nursing And Rehabilitation is an health care organization with primary practice located at 3500 Park St , Greenville TX 75401-5159. 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. Greenville I Enterprises Llc can be contacted via phone (903) 455-2220, or through Blake, Gary via phone (817) 348-8841.

Contact Information

Primary practice address
3500 Park St Greenville TX 75401-5159
Phone: (903) 455-2220
Fax: (903) 455-0343
Website:
Map and Directions
Authorized official contact:
Name: Blake, Gary
Phone: (817) 348-8841

Health care specialties

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

Profile Details

NPI number 1174897730
LBN Legal business name Greenville I Enterprises Llc
DBA Doing business as Park Haven Nursing And Rehabilitation
Authorized official Blake, Gary
Entity Organization
Organization subpart 1 No
Enumeration date Feb 29th, 2012
Last updated Jul 9th, 2012 - about 12 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 1174897730 NPPES
Texas Other 004381 FACILITY ID
Texas MEDICAID 001020376 FACILITY ID

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