Kilgore Health & Rehabilitation

LBN: Kilgore I Enterprises, Llc
Kilgore Health & Rehabilitation is an health care organization with primary practice located at 2700 S Henderson Blvd , Kilgore TX 75662-4033. 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. Kilgore I Enterprises, Llc can be contacted via phone (903) 984-3511, or through Blake, Gary via phone (817) 348-8841.

Contact Information

Primary practice address
2700 S Henderson Blvd Kilgore TX 75662-4033
Phone: (903) 984-3511
Fax: (903) 983-1031
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 1992021661
LBN Legal business name Kilgore I Enterprises, Llc
DBA Doing business as Kilgore Health & Rehabilitation
Authorized official Blake, Gary
Entity Organization
Organization subpart 1 No
Enumeration date Apr 20th, 2010
Last updated Feb 25th, 2015 - about 10 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 1992021661 NPPES
Texas MEDICAID 001018457
Texas Other 004515

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