FOURSQUARE TEXAS 16 LLC (NPI# 1205478286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205478286 |
| Entity Type | Organization |
| Organization Name | FOURSQUARE TEXAS 16 LLC |
| Practice Address |
1401 W. Princeton Dr. Princeton TX 75407 |
| Mailing Address |
4311 Oak Lawn Ave Ste 400 Dallas TX 75219-2363 |
| Practice Telephone | 9727346000 |
| Mailing Telephone | 9723037500 |
| Enumeration Date | 2019-10-11 |
| Last Update Date | 2019-10-11 |
| Authorized Official Name | SHANE LEWIS (VP) |
| Authorized Official Telephone | 9723037500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Princeton Medical Lodge | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851857304 | Foursquare Texas 16 LLC | Skilled Nursing Facility | 750 Highway 352, Mesquite, TX 75149 | 2019-02-20 |
| 1851849897 | Foursquare Texas 16 LLC | Skilled Nursing Facility | 1119 S. Red River Expressway, Burkburnett, TX 76354 | 2016-09-20 |
| Street Address |
1401 W. PRINCETON DR. |
| City | PRINCETON |
| State | TX |
| Zip Code | 75407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427663723 | Kristine Schuerger | Specialist/Technologist | 960 Bois D'arc Dr., Princeton, TX 75407 | 2020-09-14 |
| 1437685328 | Myia Billy | Counselor | 1306 N 6th Street, Princeton, TX 75407 | 2017-05-11 |
| 1144675760 | Deseye, LLC | Optometrist | 701 West Princeton Dr, Princeton, TX 75407 | 2016-05-02 |
| 1164737540 | David Tien Si Vo | Dentist | 275 West Princeton Dr., Suite 100, Princeton, TX 75407 | 2010-08-10 |
| 1184862146 | Aydil Healthcare, Pllc | Pharmacy | 501 E Princeton Dr # 100, Princeton, TX 75407 | 2009-01-29 |
| 1598946071 | Pharmacy Operations Inc | Durable Medical Equipment & Medical Supplies | 501 E Princeton Dr, Ste 100, Princeton, TX 75407 | 2007-11-26 |
| 1043352537 | Princeton Pharmacy Inc. | Pharmacy | 501 E. Princeton Dr, Suite 100, Princeton, TX 75407 | 2007-02-13 |
| 1306955455 | David W. Cho | Dentist | 200 S. Beauchamp Blvd, Suite 104, Princeton, TX 75407 | 2006-08-30 |
| 1477593457 | Jeremy Christopher Schmid | Chiropractor | 712 W Princeton Drive, Princeton, TX 75407 | 2006-06-07 |
| 1194326256 | Hello Dental-princeton Pllc | Dentist | 200 S. Beauchamp Blvd, Suite 104, Princeton, TX 75407 | 2020-11-05 |
| Find all providers in zip 75407 | ||||
| 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 |
|---|---|---|---|---|
| 1467878512 | Genesis Health Care | Skilled Nursing Facility | 11524 Dawson Road, Princeton, KY 42445 | 2014-03-13 |
| 1184756173 | Colonial Nursing and Rehabilitation Center | Skilled Nursing Facility | 515 S Bureau Valley Pkwy, Princeton, IL 61356-2203 | 2007-03-12 |
| 1073688222 | Princeton Nursing Home &rehabilitation Center Inc. | Skilled Nursing Facility | 728 Bunn Dr, Princeton, NJ 08540-1963 | 2006-11-22 |
| 1467564047 | Good Samaritan Hospital | Skilled Nursing Facility | 1244 Vail St, Princeton, IN 47670-9513 | 2006-08-31 |
| 1790712206 | Sunnyview Health Care Center Inc. | Skilled Nursing Facility | 900 Sunnyview Ln, Princeton, WI 54968-9262 | 2006-06-28 |
| 1871531459 | The Waters of Princeton, LLC | Skilled Nursing Facility | 1020 W Vine St, Princeton, IN 47670-1164 | 2006-06-03 |
| 1083692420 | Residential Alternatives of Illinois Inc | Skilled Nursing Facility | 140 N 6th St, Princeton, IL 61356-1878 | 2006-01-05 |
| 1043291255 | Pearl's II Eden for Elders LLC | Skilled Nursing Facility | 611 N College Ave, Princeton, MO 64673-1051 | 2005-11-07 |
| 1205824646 | Glenwood Park, Inc. | Skilled Nursing Facility | 1924 Glenwood Park Rd, Princeton, WV 24740-7969 | 2005-10-10 |
| 1881682680 | Elim Homes, Inc. | Skilled Nursing Facility | 701 1st St, Princeton, MN 55371-1713 | 2005-10-06 |
| Find all providers in PRINCETON | ||||
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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.