DE LEON I ENTERPRISES, LLC (NPI# 1275171910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275171910 |
| Entity Type | Organization |
| Organization Name | DE LEON I ENTERPRISES, LLC |
| Practice Address |
809 E Navarro Ave De Leon TX 76444-1275 |
| Mailing Address |
4150 International Plz Ste 600 Fort Worth TX 76109-4831 |
| Practice Telephone | 2548932075 |
| Mailing Telephone | 2548932075 |
| Mailing Fax Number | 8173480466 |
| Enumeration Date | 2019-12-12 |
| Last Update Date | 2019-12-12 |
| Authorized Official Name | GARY BLAKE (MANAGING MEMBER) |
| Authorized Official Telephone | 8173868959 |
| 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 |
|---|---|
| De Leon Nursing and Rehabilitation | Doing Business As Name - Organization |
| Street Address |
809 E NAVARRO AVE |
| City | DE LEON |
| State | TX |
| Zip Code | 76444-1275 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932196706 | Deleon Nursing and Rehabilitation Lp | Skilled Nursing Facility | 809 E Navarro Ave, De Leon, TX 76444-1275 | 2005-10-05 |
| 1053893776 | Tamantha Brooks | Speech-Language Pathologist | 809 E Navarro Ave, De Leon, TX 76444-1275 | 2018-08-29 |
| 1588145874 | Roy Hodges | Physical Therapist | 809 E Navarro Ave, De Leon, TX 76444-1275 | 2018-08-24 |
| 1972083707 | Swarna Latha Sudanagunta | Physical Therapy Assistant | 809 E Navarro Ave, De Leon, TX 76444-1275 | 2018-08-21 |
| 1093295750 | Elizbeth Martinez | Occupational Therapy Assistant | 809 E Navarro Ave, De Leon, TX 76444-1275 | 2018-08-21 |
| 1760962427 | Demi Dyson | Speech-Language Pathologist | 809 E Navarro Ave, De Leon, TX 76444-1275 | 2018-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831739192 | Tiffany Torres | Nurse Practitioner | 240 S Comanche Dr, De Leon, TX 76444 | 2020-01-14 |
| 1700387727 | Deanna Krause | Licensed Vocational Nurse | 832 S. Lamar, Deleon, TX 76444 | 2018-02-25 |
| 1669772117 | Cross Timbers Health Clinic Inc | Clinic/Center | 1100 W Reynosa Street, De Leon, TX 76444 | 2010-11-01 |
| 1548476559 | Rana Lorene Zoch | Physical Therapist | 400 S. Houston St., De Leon, TX 76444 | 2007-05-15 |
| 1134295074 | Cross Timbers Health Clinics, Inc. | Clinic/Center | 1100 W Reynosa St, De Leon, TX 76444 | 2006-11-24 |
| 1639243405 | Bradford A Bettis | Physical Therapist | Comanche Physical Therapy Services Inc, 400 South Houston, De Leon, TX 76444 | 2006-11-20 |
| 1457456865 | Johnny C Smith | Dentist | 740 N Texas, Deleon, TX 76444 | 2006-09-13 |
| 1235175357 | Cross Timbers Health Clinics, Inc. | Clinic/Center | 1100 W Reynosa, De Leon, TX 76444 | 2006-06-20 |
| 1689881666 | Cross Timbers Health Clinics, Inc. | Clinic/Center | 1100 W Reynosa St, De Leon, TX 76444 | 2007-05-17 |
| 1487870655 | Ronald Livingston | Family Medicine | 1100 W Reynosa St, De Leon, TX 76444 | 2007-04-17 |
| Find all providers in zip 76444 | ||||
| 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 |
|---|---|---|---|---|
| 1932196706 | Deleon Nursing and Rehabilitation Lp | Skilled Nursing Facility | 809 E Navarro Ave, De Leon, TX 76444-1275 | 2005-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285233171 | Center At Zaragoza, LLC | Skilled Nursing Facility | 12660 Pebble Hills Blvd., El Paso, TX 79936 | 2020-10-21 |
| 1609473362 | Touchstone Strategies - Penitas, LLC | Skilled Nursing Facility | 414 Liberty Blvd., Penitas, TX 78576 | 2020-10-06 |
| 1649884313 | Springtown Ventures Lp | Skilled Nursing Facility | 201 Williams Ward Rd., Springtown, TX 76082 | 2020-09-01 |
| 1821601691 | Altamira Healthcare LLC | Skilled Nursing Facility | 200 Carla St, Zapata, TX 78076-3114 | 2020-08-31 |
| 1538770839 | Go Operations 3 LLC | Skilled Nursing Facility | 4366 Lockhill Selma, Shavano, TX 78249 | 2020-08-11 |
| 1912516329 | Patriot Skilled Nursing and Rehabilitation LLC | Skilled Nursing Facility | 11490 Gateway N Blvd., El Paso, TX 79934 | 2020-07-31 |
| 1972112464 | The Brixton At Horseshoe Bay | Skilled Nursing Facility | 15101 West Fm 2147, Horseshoe Bay, TX 78657 | 2020-07-30 |
| 1558984278 | Slp Johnson City LLC | Skilled Nursing Facility | 206 Haley Rd, Johnson City, TX 78636-4617 | 2020-05-28 |
| 1073136149 | Continuum Rehab Group | Skilled Nursing Facility | 3326 Burgoyne St # 1432, Dallas, TX 75233-1304 | 2020-05-24 |
| 1750904264 | Frank Villanueva | Skilled Nursing Facility | 711 W Broadway St, Denver City, TX 79323-3000 | 2020-05-19 |
| 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.