Willowbrook Nursing Center

LBN: Nacogdoches Csnhc Enterprises, Llc
Willowbrook Nursing Center is an health care organization with primary practice located at 227 Russell Blvd , Nacogdoches TX 75965-1238. 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. Nacogdoches Csnhc Enterprises, Llc can be contacted via phone (936) 564-4596, or through Blake, Gary via phone (817) 348-8959.

Contact Information

Primary practice address
227 Russell Blvd Nacogdoches TX 75965-1238
Phone: (936) 564-4596
Fax: (936) 564-6824
Website:
Map and Directions
Authorized official contact:
Name: Blake, Gary
Phone: (817) 348-8959

Health care specialties

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

Profile Details

NPI number 1114196771
LBN Legal business name Nacogdoches Csnhc Enterprises, Llc
DBA Doing business as Willowbrook Nursing Center
Authorized official Blake, Gary
Entity Organization
Organization subpart 1 No
Enumeration date Feb 27th, 2008
Last updated Feb 6th, 2015 - about 9 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 1114196771 NPPES
Texas Other 005225 VENDOR STATE
Texas MEDICAID 001015998 VENDOR STATE

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