PINE RIDGE HEALTH CARE L L P (NPI# 1053316331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053316331 |
| Entity Type | Organization |
| Organization Name | PINE RIDGE HEALTH CARE L L P |
| Practice Address |
1620 Highway 59 Loop N Livingston TX 77351-9988 |
| Mailing Address |
7150 Gantt Access Azle TX 76020-5638 |
| Practice Telephone | 9363275415 |
| Mailing Telephone | 8174442516 |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2020-08-03 |
| Authorized Official Name | MAURA PANOS (ACCOUNTANT) |
| Authorized Official Telephone | 8174442516 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 113069 | TX | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 001001771 | 05 |
| Street Address |
1620 HIGHWAY 59 LOOP N |
| City | LIVINGSTON |
| State | TX |
| Zip Code | 77351-9988 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073155669 | Amanda Rachelle Crow | Occupational Therapy Assistant | 1620 Highway 59 Loop N, Livingston, TX 77351-9988 | 2019-10-15 |
| 1104390418 | Valerie Fuller | Speech-Language Pathologist | 1620 Highway 59 Loop N, Livingston, TX 77351-9988 | 2019-01-20 |
| 1427418169 | Jennifer Kay Hutchison | Physical Therapy Assistant | 1620 Highway 59 Loop N, Livingston, TX 77351-9988 | 2016-02-23 |
| 1720444268 | Earle Lusk | Physical Therapy Assistant | 1620 Highway 59 Loop N, Livingston, TX 77351-9988 | 2016-01-13 |
| 1093103160 | Donaldson Osei | Speech-Language Pathologist | 1620 Highway 59 Loop N, Livingston, TX 77351-9988 | 2014-12-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881252765 | B&g Family Dentistry Pllc | Clinic/Center | 402 S Washington Ave, Livingston, TX 77351 | 2019-06-05 |
| 1518431907 | Clinton Jarell Collins | Occupational Therapist | 1620 Us-59 N, Livingston, TX 77351 | 2019-01-18 |
| 1205318417 | Christopher Hern | Nurse Practitioner | 1717 Us-59 Loop N, Livingston, TX 77351 | 2018-09-04 |
| 1831566520 | Susan Michelle Brownfield | Occupational Therapist | 1620 Old Us Hwy 59, Livingston, TX 77351 | 2015-08-28 |
| 1346643624 | Jigneshkumar Parmar | Dentist | 1774 Us 190 West, Livingston, TX 77351 | 2014-10-01 |
| 1063827954 | Faith Whatley-torres | Behavioral Analyst | 144 Branding Iron, Livingston, TX 77351 | 2014-06-30 |
| 1427481126 | Mary Elizabeth Kuruvilla | Dentist | 184 Ashton Bend, Livingston, TX 77351 | 2013-08-16 |
| 1255772778 | Waleed Khaled Ahmad | Dentist | 117 Southpoint Lane, Suite 400, Livingston, TX 77351 | 2013-07-12 |
| 1053750679 | Jacquelyn Y Flores | Dentist | 1114 N. Washingtion Ave., Livinston, TX 77351 | 2013-06-17 |
| 1750725131 | Womans Clinic At Livingston Pllc | Radiology | 111 Emergency Dr., Ste C, Livingston, TX 77351 | 2013-04-29 |
| Find all providers in zip 77351 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700444825 | Livingston Snf Amop, LLC | Skilled Nursing Facility | 348 E Cedar St, Livingston, NJ 07039-4221 | 2019-06-04 |
| 1184154098 | Snf Old Short Hills Operating Company, LLC | Skilled Nursing Facility | 348 East Cedar Street, Livingston, NJ 07039 | 2017-06-13 |
| 1639535131 | Tyler County Hospital District | Skilled Nursing Facility | 301 W Park, Livingston, TX 77351-8151 | 2016-01-13 |
| 1114365467 | Livingston S and V Operations LLC | Skilled Nursing Facility | 2781 Route 9, Livingston, NY 12541 | 2013-06-10 |
| 1528015237 | Liberty County Hospital District No.1 | Skilled Nursing Facility | 4001 N Hwy 59, Livingston, TX 77351 | 2006-05-28 |
| 1821041286 | Livingston Hills Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | Route 9, P. O. 95, Livingston, NY 12541 | 2006-05-18 |
| 1750368387 | Grace Home, Inc. | Skilled Nursing Facility | 13435 Peach Ave, Livingston, CA 95334-9312 | 2005-12-23 |
| 1558360255 | Care Two, LLC | Skilled Nursing Facility | 68 Passaic Avenue, Livingston, NJ 07039 | 2005-07-15 |
| 1245235811 | Livingston Care Center | Skilled Nursing Facility | 311 S Livingston Ave, Livingston, NJ 07039-3927 | 2005-06-20 |
| 1265970214 | Oakbend Medical Center | Skilled Nursing Facility | 301 W Park, Livingston, TX 77351-8151 | 2017-02-09 |
| Find all providers in LIVINGSTON | ||||
| City | LIVINGSTON |
| Zip Code | 77351 |
Please comment or provide details below to improve the information on PINE RIDGE HEALTH CARE L L P.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.