Palo Pinto Nursing Center

LBN: Palo Pinto Nursing Center, L.P.
Palo Pinto Nursing Center is an health care organization with primary practice located at 200 Sw 25Th Ave , Mineral Wells TX 76067-8242. 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. Palo Pinto Nursing Center, L.P. can be contacted via phone (940) 325-7813, or through Licari, Peter J via phone (215) 441-7700.

Contact Information

Primary practice address
200 Sw 25Th Ave Mineral Wells TX 76067-8242
Phone: (940) 325-7813
Fax: (940) 325-5680
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 108630 Texas
Suppliers / Nursing Facility Supplies 332BN1400X 121109 Texas
Suppliers / Parenteral & Enteral Nutrition 332BP3500X 121109 Texas

Profile Details

NPI number 1164412615
LBN Legal business name Palo Pinto Nursing Center, L.P.
DBA Doing business as Palo Pinto Nursing Center
Authorized official Licari, Peter J
Entity Organization
Organization subpart 1 No
Enumeration date Oct 26th, 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 1164412615 NPPES
Texas MEDICAID 004735

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