Park Place Nursing & Rehab

LBN: Park Place Tyler Hc, Llc
Park Place Nursing & Rehab is an health care organization with primary practice located at 2450 E 5Th St , Tyler TX 75701-3525. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty. Park Place Tyler Hc, Llc can be contacted via phone (903) 592-6745, or through Redd, Sharon Kay via phone (903) 881-9432.

Contact Information

Primary practice address
2450 E 5Th St Tyler TX 75701-3525
Phone: (903) 592-6745
Fax: (903) 592-1088
Website:
Map and Directions
Authorized official contact:
Name: Redd, Sharon Kay
Phone: (903) 881-9432

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X Texas

Profile Details

NPI number 1184954828
LBN Legal business name Park Place Tyler Hc, Llc
DBA Doing business as Park Place Nursing & Rehab
Authorized official Redd, Sharon Kay
Entity Organization
Organization subpart 1 No
Enumeration date Dec 31st, 2009
Last updated Dec 31st, 2009 - 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 1184954828 NPPES
Texas MEDICAID 001012142
Texas MEDICAID 5390

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