Legacy Living Centers

LBN: Vidor Manor Nursing Home Inc
Legacy Living Centers is an health care organization with primary practice located at 470 Moore Dr , Vidor TX 77662-3843. 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. Vidor Manor Nursing Home Inc can be contacted via phone (409) 769-2454, or through Pita, Janice via phone (580) 622-6300.

Contact Information

Primary practice address
470 Moore Dr Vidor TX 77662-3843
Phone: (409) 769-2454
Fax: (409) 769-9324
Website:
Map and Directions
Authorized official contact:
Name: Pita, Janice
Phone: (580) 622-6300

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 114895 Texas

Profile Details

NPI number 1982691226
LBN Legal business name Vidor Manor Nursing Home Inc
DBA Doing business as Legacy Living Centers
Authorized official Pita, Janice
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2005
Last updated Jun 20th, 2008 - about 16 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 1982691226 NPPES
Texas MEDICAID 001013574

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