The Renaissance At Kessler Park

LBN: Holiday Hills Rehabilitation & Care Center, L.P.
The Renaissance At Kessler Park is an health care organization with primary practice located at 2428 Bahama Drive , Dallas TX 75211-2099. 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. Holiday Hills Rehabilitation & Care Center, L.P. can be contacted via phone (214) 948-3811, or through Licari, Peter J via phone (215) 441-7700.

Contact Information

Primary practice address
2428 Bahama Drive Dallas TX 75211-2099
Phone: (214) 948-3811
Fax: (214) 948-9651
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 108253 Texas
Suppliers / Nursing Facility Supplies 332BN1400X 114517 Texas
Suppliers / Parenteral & Enteral Nutrition 332BP3500X 114517 Texas

Profile Details

NPI number 1376533901
LBN Legal business name Holiday Hills Rehabilitation & Care Center, L.P.
DBA Doing business as The Renaissance At Kessler Park
Authorized official Licari, Peter J
Entity Organization
Organization subpart 1 No
Enumeration date Oct 25th, 2005
Last updated Oct 29th, 2007 - about 17 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 1376533901 NPPES
Pennsylvania MEDICAID 005087

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