Park Village Healthcare And Rehabilitation

LBN: Stephens Memorial Hospital District
Park Village Healthcare And Rehabilitation is an health care organization with primary practice located at 207 E Parkerville Rd , Desoto TX 75115-6251. 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. Stephens Memorial Hospital District can be contacted via phone (972) 230-1000, or through Burnam, Soon via phone (949) 540-1249.

Contact Information

Primary practice address
207 E Parkerville Rd Desoto TX 75115-6251
Fax: (972) 230-5509
Website:
Authorized official contact:
Name: Burnam, Soon

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 111200 Texas

Profile Details

NPI number 1225022908
LBN Legal business name Stephens Memorial Hospital District
DBA Doing business as Park Village Healthcare And Rehabilitation
Authorized official Burnam, Soon
Entity Organization
Organization subpart 1 No
Enumeration date Sep 8th, 2005
Last updated Oct 11th, 2021 - about 3 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 1225022908 NPPES
Texas MEDICAID 5257

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