The Waterton Plaza Senior Care

LBN: Hsmtx Waterton Plaza, Llc
The Waterton Plaza Senior Care is an health care organization with primary practice located at 2875 Shiloh Rd , Tyler TX 75703-2936. 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. Hsmtx Waterton Plaza, Llc can be contacted via phone (903) 561-1300, or through Davis, Charles A via phone (713) 934-7800.

Contact Information

Primary practice address
2875 Shiloh Rd Tyler TX 75703-2936
Phone: (903) 561-1300
Fax: (903) 939-1754
Website:
Map and Directions
Authorized official contact:
Name: Davis, Charles A
Phone: (713) 934-7800

Health care specialties

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

Profile Details

NPI number 1982886578
LBN Legal business name Hsmtx Waterton Plaza, Llc
DBA Doing business as The Waterton Plaza Senior Care
Authorized official Davis, Charles A
Entity Organization
Organization subpart 1 No
Enumeration date Dec 5th, 2007
Last updated Feb 16th, 2010 - about 15 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 1982886578 NPPES
Texas MEDICAID 001017767

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