SEARS METHODIST CENTER, INC (NPI# 1104809862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104809862 |
| Entity Type | Organization |
| Organization Name | SEARS METHODIST CENTER, INC |
| Other Organization Name | WESLEY COURT METHODIST RETIREMENT COMMUNITY |
| Practice Address |
2617 Antilley Rd Abilene TX 79606-5109 |
| Mailing Address |
1 Village Dr Suite 400 Abilene TX 79606-8231 |
| Practice Telephone | 3254371184 |
| Mailing Telephone | 3256915519 |
| Mailing Fax Number | 3256984582 |
| Enumeration Date | 2005-11-26 |
| Last Update Date | 2010-04-26 |
| Authorized Official Name | MR. RANDALL CROSSWHITE (VICE PRESIDENT/ASST. CFO) |
| Authorized Official Telephone | 3256915519 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 113299 | TX | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Wesley Court Methodist Retirement Community | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255315446 | Sears Methodist Center, Inc | Pharmacy | 3202 S Willis St, Abilene, TX 79605-6650 | 2005-12-01 |
| Street Address |
2617 ANTILLEY RD |
| City | ABILENE |
| State | TX |
| Zip Code | 79606-5109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518357540 | Er Opco Wc LLC | Skilled Nursing Facility | 2617 Antilley Rd, Abilene, TX 79606-5109 | 2015-01-29 |
| 1548581671 | Wesley Court Methodist Retirement Community | Clinic/Center | 2617 Antilley Rd, Abilene, TX 79606-5109 | 2010-06-11 |
| 1326168584 | Rachel Jones Monhollon | Occupational Therapist | 2617 Antilley Rd, Abilene, TX 79606-5109 | 2007-03-30 |
| 1881711091 | Larry Gene Crockett | Occupational Therapy Assistant | 2617 Antilley Rd, Abilene, TX 79606-5109 | 2007-03-23 |
| 1598882888 | Misty Michelle Braly | Physical Therapist | 2617 Antilley Rd, Abilene, TX 79606-5109 | 2007-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235746793 | Tara Ann Patrick | Social Worker | Veterans Affairs, 3850 Ridgemont, Abilene, TX 79606 | 2020-09-29 |
| 1740815398 | Kevin William Regan | General Practice | 5326 Meadow Dr., Abilene, TX 79606 | 2020-03-04 |
| 1548800725 | Valentina Walls | Registered Nurse | 14 Verbena St., Abilene, TX 79606 | 2020-01-15 |
| 1932649803 | Palo Pinto County Hospital District | Skilled Nursing Facility | 6050 Hospital Drive, Abilene, TX 79606 | 2017-02-27 |
| 1679925127 | Tania Marie Oyola Rosario | Family Medicine | 6300 Regional Plz Ste 260, Abilene, TX 79606 | 2016-07-08 |
| 1972973196 | Brian Stuart | Specialist/Technologist | 4502 Antilley Rd, Abilene, TX 79606 | 2015-09-30 |
| 1255723151 | Megan Blair Greenway | Specialist/Technologist, Other | 7325 Clariece Drive, Abilene, TX 79606 | 2015-03-02 |
| 1215280698 | James T.s. O'neal II | Physician Assistant | 697 Louisianna Drive, Dyess Afb, TX 79606 | 2012-10-22 |
| 1548522675 | Chukwuemeka Charles Ezeoke | Internal Medicine | 1680 Antilley Rd Ste 120, Abilene, TX 79606 | 2012-06-14 |
| 1801152152 | Jeffrey Darren Edwards | Internal Medicine | 5302 Buffalo Gap Road, Suite 104, Abilene, TX 79606 | 2012-04-11 |
| Find all providers in zip 79606 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851578892 | Sears Caprock Retirement Corporation | Nursing Facility/Intermediate Care Facility | 7171 Buffalo Gap, Abilene, TX 79606-5450 | 2008-01-22 |
| 1003038522 | Synertx Rehabilitation | Nursing Facility/Intermediate Care Facility | 7818 White Blvd, Abilene, TX 79601 | 2007-05-03 |
| 1013910835 | Abilene Helping Hands Inc | Nursing Facility/Intermediate Care Facility | 2630 Old Anson Rd, Abilene, TX 79603-2210 | 2005-05-24 |
| 1700084803 | Synertx | Nursing Facility/Intermediate Care Facility | 7818 White Blvd, Abilene, TX 79606-5553 | 2007-07-10 |
| 1962537068 | Mesa Springs Retirement Village, Inc. | Nursing Facility/Intermediate Care Facility | 7171 Buffalo Gap Rd, Abilene, TX 79606-5450 | 2007-02-22 |
| 1487637146 | Sears Methodist Center, Inc. | Nursing Facility/Intermediate Care Facility | 3202 S Willis St, Abilene, TX 79605-6650 | 2005-11-26 |
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| 1225402753 | West Wharton County Hospital District | Nursing Facility/Intermediate Care Facility | 248 Wisteria Ln, El Campo, TX 77437-2545 | 2015-11-20 |
| 1447635040 | Sarah Padlan I | Nursing Facility/Intermediate Care Facility | 3808 Veterans Blvd, Studio 6, Del Rio, TX 78840-2859 | 2015-07-23 |
| 1902289358 | Fnu Anushree | Nursing Facility/Intermediate Care Facility | 328 Bedford Rd Apt 247, Bedford, TX 76022-8032 | 2015-07-02 |
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| Find all providers with the same taxonomy | ||||
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| 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.