TITUS COUNTY HOSPITAL DISTRICT (NPI# 1366841694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366841694 |
| Entity Type | Organization |
| Organization Name | TITUS COUNTY HOSPITAL DISTRICT |
| Other Organization Name | HENDERSON HEALTH & REHABILITATION CENTER |
| Practice Address |
1010 W Main St Henderson TX 75652-2923 |
| Practice Telephone | 9036576513 |
| Practice Fax Number | 9036575344 |
| Mailing Telephone | 9036576513 |
| Mailing Fax Number | 9036575344 |
| Enumeration Date | 2014-08-22 |
| Last Update Date | 2014-08-22 |
| Authorized Official Name | TERRY SCOGGIN (CFO) |
| Authorized Official Telephone | 9035776066 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 004555 | 05 |
| Other Name | Type Code |
|---|---|
| HENDERSON HEALTH & REHABILITATION CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750812921 | Titus County Hospital District | Clinic/Center | 2015 Mulberry Ave Ste 260, Mount Pleasant, TX 75455 | 2017-03-21 |
| 1841721016 | Titus County Hospital District | Clinic/Center | 2001 N Jefferson Ave Ste 210, Mount Pleasant, TX 75455-2390 | 2017-03-21 |
| 1982070595 | Titus County Hospital District | Clinic/Center | 1901 Mulberry Ave, Mount Pleasant, TX 75455-2369 | 2015-08-18 |
| 1972902245 | Titus County Hospital District | Skilled Nursing Facility | 3505 Old Jacksonvil Rd, Tyler, TX 75701-8510 | 2014-08-22 |
| 1497165724 | Titus County Hospital District | Clinic/Center | 2001 N Jefferson Ave Ste 204a, Mount Pleasant, TX 75455-2300 | 2014-05-08 |
| 1114344520 | Titus County Hospital District | Clinic/Center | 2001 N Jefferson Ave Ste 202a, Mount Pleasant, TX 75455-2309 | 2014-03-24 |
| 1922422401 | Titus County Hospital District | Clinic/Center | 2001 N Jefferson Ave Ste 100, Mount Pleasant, TX 75455-1104 | 2014-02-05 |
| 1588917694 | Titus County Hospital District | Clinic/Center | 1610 S Jefferson Ave, Mount Pleasant, TX 75455 | 2012-10-26 |
| 1114548211 | Titus County Hospital District | Clinic/Center | 1610 S Jefferson Ave, Mount Pleasant, TX 75455-5614 | 2020-04-29 |
| 1013538321 | Titus County Hospital District | Clinic/Center | 1402 Linda Dr, Daingerfield, TX 75638-2132 | 2020-04-28 |
| Street Address |
1010 W MAIN ST |
| City | HENDERSON |
| State | TX |
| Zip Code | 75652-2923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417275538 | Susie Peterson | Speech-Language Pathologist | 1010 W Main St, Henderson, TX 75652-2923 | 2010-05-13 |
| 1275865057 | Anabel Flores | Physical Therapy Assistant | 1010 W Main St, Henderson, TX 75652-2923 | 2010-02-04 |
| 1992031322 | Henderson Snf LLC | Durable Medical Equipment & Medical Supplies | 1010 W Main St, Henderson, TX 75652-2923 | 2009-10-20 |
| 1821228776 | Pamela Ervin Sanders | Occupational Therapy Assistant | 1010 W Main St, Henderson, TX 75652-2923 | 2009-07-24 |
| 1437386653 | Kimberly Jane Olague | Physical Therapy Assistant | 1010 W Main St, Henderson, TX 75652-2923 | 2009-06-15 |
| 1124277827 | Merianne Sharp | Occupational Therapy Assistant | 1010 W Main St, Henderson, TX 75652-2923 | 2008-09-17 |
| 1205085909 | Jeanette Parker | Speech-Language Pathologist | 1010 W Main St, Henderson, TX 75652-2923 | 2008-09-17 |
| 1710174495 | Tamara Mccann | Physical Therapy Assistant | 1010 W Main St, Henderson, TX 75652-2923 | 2007-09-26 |
| 1174719439 | Peter Kiarie Kariuki | Occupational Therapist | 1010 W Main St, Henderson, TX 75652-2923 | 2007-09-20 |
| 1588850085 | A'ndrea Danielle Bailey | Occupational Therapy Assistant | 1010 W Main St, Henderson, TX 75652-2923 | 2007-09-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184264384 | John Etakibuebu | Pharmacist | 2415 Hwy 79 S, Henderson, TX 75652 | 2020-01-15 |
| 1841758596 | Janet Juanita Ray | Registered Nurse | 1987 Fm 2276 N, Henderson, TX 75652 | 2019-03-12 |
| 1912490483 | Matthew Davis Acres | Dentist | 1910 Tx-43, Henderson, TX 75652 | 2018-06-11 |
| 1467863407 | Counseling Services | Counselor | 1103 Wilson Street, Henderson, TX 75652 | 2014-05-13 |
| 1285900852 | Linda June Pool | Music Therapist | 6861 Fm 1251 E., Henderson, TX 75652 | 2012-03-28 |
| 1780992586 | Furqueron & Jackson Dentistry Partnership | Dentist | 1910 State Hwy 43 East, Henderson, TX 75652 | 2010-09-15 |
| 1235396359 | Crystal Touchstone | Physical Therapy Assistant | 1010 W Main, Henderson, TX 75652 | 2008-05-16 |
| 1609082379 | D&s Residential Services | Intermediate Care Facility, Mentally Retarded | 103 Truman, Henderson, TX 75652 | 2007-05-16 |
| 1790997302 | Billy George Brown | Dentist | 300-b North High Street, Henderson, TX 75652 | 2007-05-04 |
| 1043379761 | Donna G Mason-mcfalll | Counselor | 1103 Wilson St, Henderson, TX 75652 | 2006-12-08 |
| Find all providers in zip 75652 | ||||
| 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 |
|---|---|---|---|---|
| 1811421712 | Henderson Long Term Care LLC | Skilled Nursing Facility | 2965 Wigwam Parkway, Henderson, NV 89074 | 2017-04-18 |
| 1437697430 | Ahc of Henderson LLC | Skilled Nursing Facility | 1285 East Cactus Avenue, Henderson, NV 89183-7714 | 2017-02-09 |
| 1508303090 | Ghc of Henderson LLC | Skilled Nursing Facility | 2855 W Horizon Ridge Pkwy, Henderson, NV 89052 | 2017-01-23 |
| 1699111948 | Advancing Teams Management LLC | Skilled Nursing Facility | 712 Fair Park Dr, Henderson, TX 75654-3208 | 2013-05-14 |
| 1356402515 | Autumn Leaves Nursing and Rehab Inc | Skilled Nursing Facility | 321 Kilgore Dr, Henderson, TX 75652-5215 | 2006-12-12 |
| 1043383771 | Extendicare Homes, Inc. | Skilled Nursing Facility | 2500 N Elm St, Henderson, KY 42420-2005 | 2006-11-17 |
| 1316034598 | Thi of Nevada At Henderson Convalescent LLC | Skilled Nursing Facility | 1180 E Lake Mead Pkwy, Henderson, NV 89015-5561 | 2006-10-07 |
| 1902997356 | Chester Co Healthcare, Inc. | Skilled Nursing Facility | 412 Juanita Dr, Henderson, TN 38340-1949 | 2006-09-28 |
| 1033220348 | Kindred Nursing Centers East, L.L.C. | Skilled Nursing Facility | 280 S Beckford Dr, Henderson, NC 27536-2564 | 2006-08-31 |
| 1972547321 | Eagle Peak Ltc Group, LLC | Skilled Nursing Facility | 1245 Park Ave, Henderson, NC 27536-4025 | 2006-06-16 |
| Find all providers in HENDERSON | ||||
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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.