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Contact Information

THE NURSING & REHABILITATION CENTER OF PINECREST, L.P.
3505 OLD JACKSONVILLE ROAD
TYLER, TX75701
 Phone: 903-561-2011
 Fax: 903-534-8335
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for THE NURSING & REHABILITATION CENTER OF PINECREST, L.P.

NPI # 1558398644
LBN Legal business name THE NURSING & REHABILITATION CENTER OF PINECREST, L.P.
Authorized official PETER LICARI - (PRESIDENT OF GENERAL PARTNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/26/2006
Last updated 10/30/2007 - About 19 years ago
Identifiers
TX License # 113558
TX Medicaid 005181
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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