CARILLON, INC. (NPI# 1275524027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275524027 |
| Entity Type | Organization |
| Organization Name | CARILLON, INC. |
| Other Organization Name | CARILLON |
| Practice Address |
1717 Norfolk Ave Lubbock TX 79416 |
| Mailing Address |
1717 Norfolk Ave Lubbock TX 79416-6099 |
| Practice Telephone | 8062816000 |
| Practice Fax Number | 8062816041 |
| Mailing Telephone | 8062816000 |
| Mailing Fax Number | 8062816041 |
| Enumeration Date | 2005-11-01 |
| Last Update Date | 2019-08-28 |
| Authorized Official Name | MR. JOHN JACKSON MCCLENDON (CHAIR) |
| Authorized Official Telephone | 8067639561 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 311500000X | Alzheimer Center (Dementia Center) | 103309 | TX | Nursing & Custodial Care Facilities |
| N | 310400000X | Assisted Living Facility | 148539 | TX | Nursing & Custodial Care Facilities |
| N | 310400000X | Assisted Living Facility | 146447 | TX | Nursing & Custodial Care Facilities |
| Y | 314000000X | Skilled Nursing Facility | 145619 | TX | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Bellecourt South | Doing Business As Name - Organization |
| Carillon | Doing Business As Name - Organization |
| Carillon Assisted Living | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437386273 | Carillon, Inc. | Clinic/Center | 1717 Norfolk Ave, Lubbock, TX 79416 | 2009-06-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | CARILLON, INC. | 907 East Main St., Stamford, CT 06902 |
| Street Address |
1717 NORFOLK AVE |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184188898 | Madison Weatherly | Speech-Language Pathologist | 1717 Norfolk Ave, Lubbock, TX 79416-6099 | 2019-01-27 |
| 1528567856 | Tymberlee Durham | Speech-Language Pathologist | 1717 Norfolk Ave, Lubbock, TX 79416-6099 | 2018-02-01 |
| 1184132920 | Kelsey Marie Fincher Jr. | Occupational Therapist | 1717 Norfolk Ave, Lubbock, TX 79416-6099 | 2018-01-15 |
| 1417468539 | Jennifer Burkhalter | Occupational Therapist | 1717 Norfolk Ave, Lubbock, TX 79416-6099 | 2017-10-16 |
| 1447784749 | Cody Wilbanks | Physical Therapy Assistant | 1717 Norfolk Ave, Lubbock, TX 79416 | 2017-04-13 |
| 1053842856 | Danielle Arnold | Speech-Language Pathologist | 1717 Norfolk Ave, Lubbock, TX 79416-6099 | 2017-03-23 |
| 1295274777 | Emilee Fox | Occupational Therapist | 1717 Norfolk Ave, Lubbock, TX 79416-6099 | 2017-02-17 |
| 1295288801 | Derek Pfeiffer | Physical Therapist | 1717 Norfolk Ave, Lubbock, TX 79416-6099 | 2016-07-31 |
| 1558731521 | Laura Lafreniere | Physical Therapy Assistant | 1717 Norfolk Ave, Lubbock, TX 79416-6099 | 2015-10-02 |
| 1902275589 | Joy Monico | Physical Therapy Assistant | 1717 Norfolk Ave, Lubbock, TX 79416-6099 | 2015-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710502174 | Jordan Lane Thompson | Pharmacist | 6313 4th Street, Lubbock, TX 79416 | 2020-06-11 |
| 1821636481 | Chieh-an Chou | Specialist/Technologist | 201 N Winston Ave, Lubbock, TX 79416 | 2019-12-13 |
| 1790341949 | Michael Mcpherson, M.d. P.a. | Internal Medicine | 5406 Colgate St, Lubbock, TX 79416 | 2019-05-14 |
| 1154893675 | South Plains Rehabilitation Hospital, LLC | Rehabilitation Hospital | 5406 Colgate Street, Lubbock, TX 79416 | 2018-12-21 |
| 1932697182 | Timothy Sampana | Student in an Organized Health Care Education/Training Program | 5217 Lehigh St, Lubbock, TX 79416 | 2018-04-24 |
| 1306347711 | 4th Street Dental, Pllc | Dentist | 5709 4th St, Lubbock, TX 79416 | 2018-02-22 |
| 1639682503 | South Plains Surgery Center LLC | Clinic/Center | 4412 6th Street, Lubbock, TX 79416 | 2017-11-14 |
| 1013459809 | Isabel Garcia | Occupational Therapy Assistant | 1717 Northfolk Ave, #a, Lubbock, TX 79416 | 2016-11-09 |
| 1033589213 | Rehab Care | Skilled Nursing Facility | 1717 Norfork Ave, Bldg A, Lubbock, TX 79416 | 2015-10-01 |
| 1902281306 | Carrillon | Clinic/Center | 1717 Norfold Bld A, Lubbock, TX 79416 | 2015-07-27 |
| Find all providers in zip 79416 | ||||
| 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 |
|---|---|---|---|---|
| 1033589213 | Rehab Care | Skilled Nursing Facility | 1717 Norfork Ave, Bldg A, Lubbock, TX 79416 | 2015-10-01 |
| 1275921959 | Hansford County Hospital District | Skilled Nursing Facility | 4910 Emory St, Lubbock, TX 79416-3026 | 2015-01-02 |
| 1881945335 | Lubbock II Enterprises, LLC | Skilled Nursing Facility | 5502 W 4th St, Lubbock, TX 79416-4220 | 2012-09-24 |
| 1295020147 | Phcc-windmill Village Rehabilitation & Health Care Center, LLC | Skilled Nursing Facility | 507 Martin Luther King Blvd, Lubbock, TX 79403-5211 | 2011-06-17 |
| 1629372610 | J F Heritage LLC | Skilled Nursing Facility | 6640 Iola Ave, Lubbock, TX 79424-7845 | 2011-01-05 |
| 1003904376 | Thi of Texas At Lubbock II, LLC | Skilled Nursing Facility | 1401 9th Street, Lubbock, TX 79401 | 2006-10-11 |
| 1215977582 | Stratford Hospital District | Skilled Nursing Facility | 5301 University, Lubbock, TX 79413 | 2006-06-07 |
| 1063461994 | Hansford County Hospital District | Skilled Nursing Facility | 4910 Emory, Lubbock, TX 79416 | 2006-05-08 |
| 1659353589 | Stratford Hospital District | Skilled Nursing Facility | 4710 Slide Rd, Lubbock, TX 79414-3404 | 2005-11-16 |
| 1437156171 | Senior Health-lakeside, LLC | Skilled Nursing Facility | 4306 24th St, Lubbock, TX 79410-1818 | 2005-07-07 |
| Find all providers in LUBBOCK | ||||
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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.