KING'S MANOR METHODIST RETIREMENT SYSTEM, INC. (NPI# 1417902016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417902016 |
| Entity Type | Organization |
| Organization Name | KING'S MANOR METHODIST RETIREMENT SYSTEM, INC. |
| Other Organization Name | SAMARITAN HOSPICE |
| Practice Address |
426 N Main St Ste. E Hereford TX 79045-5359 |
| Mailing Address |
Po Box 1999 Hereford TX 79045-1999 |
| Practice Telephone | 8063636085 |
| Practice Fax Number | 8063636038 |
| Mailing Telephone | 8063640661 |
| Mailing Fax Number | 8063640675 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2013-01-10 |
| Authorized Official Name | MRS. SHELLY OSBORN MOSS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8063640661 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 315D00000X | Hospice, Inpatient | 008786 | TX | Nursing & Custodial Care Facilities |
| Y | 251G00000X | Hospice Care, Community Based | 008786 | TX | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 001013186 | 05 |
| Other Name | Type Code |
|---|---|
| SAMARITAN HOSPICE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366496283 | King's Manor Methodist Retirement System, Inc. | Nursing Facility/Intermediate Care Facility | 400 Ranger Dr, Hereford, TX 79045-2812 | 2006-05-22 |
| 1912245051 | King's Manor Methodist Retirement System, Inc. | Home Health | 426 Main St Ste E, Hereford, TX 79045-5300 | 2013-01-24 |
| Street Address |
426 N MAIN ST STE. E |
| City | HEREFORD |
| State | TX |
| Zip Code | 79045-5359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386848471 | Strategic Care of Hereford, LLC. | Skilled Nursing Facility | 231 Kingwood Street, Hereford, TX 79045 | 2007-06-12 |
| 1700965431 | Rick Roden Dds Inc | Dentist | 129 W 5th, Hereford, TX 79045 | 2006-11-03 |
| 1417054917 | Cvs Pharmacy Inc | Pharmacy | 101 West Park Ave, Hereford, TX 79045 | 2006-09-20 |
| 1396737466 | Carolyn S Jansa | Nurse Practitioner | 540 W. 15th Street, Hereford, TX 79045 | 2005-08-16 |
| 1376941682 | Kameshkumar Patel | Dentist | 701 N 25 Mile Ave, Smile Accent Pllc, Hereford, TX 79045 | 2014-12-18 |
| 1174782825 | Hereford Pharmacy, LLC | Pharmacy | 809 S 25 Mile Ave, Hereford, TX 79045 | 2008-06-07 |
| 1447392303 | Mary Jessica Mertins | Nurse Practitioner | 540 W. 15th Street, Hereford, TX 79045 | 2007-02-13 |
| 1780723791 | Trevor Rohm | Emergency Medicine | 540 W 15th St, Hereford, TX 79045 | 2007-02-06 |
| 1043273873 | Sean Daryl Wengroff | Obstetrics & Gynecology | 540 W 15th St, Hereford, TX 79045 | 2006-04-11 |
| 1285600957 | John E Hartin | Nurse Anesthetist, Certified Registered | 540 W 15th St, Hereford, TX 79045 | 2006-02-23 |
| Find all providers in zip 79045 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
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| 1942800651 | Ld5 LLC | Hospice Care, Community Based | 6913 N 40th St, Mcallen, TX 78504-5400 | 2020-10-30 |
| 1649870791 | Unique Hospice Care Inc | Hospice Care, Community Based | 1012 Hidden Creek Dr, Allen, TX 75002-2797 | 2020-10-28 |
| 1164022505 | Cypress Hospice & Palliative Care LLC | Hospice Care, Community Based | 14405 Walters Rd Ste 614, Houston, TX 77014-1562 | 2020-10-26 |
| 1700485752 | Texas Hospice Services, LLC | Hospice Care, Community Based | 2665 Villa Creek Dr Ste 202, Dallas, TX 75234-7333 | 2020-10-21 |
| 1295334365 | Cmsp Hospice Care Inc | Hospice Care, Community Based | 2100 N Hwy 360 Ste 1105b, Grand Prairie, TX 75050-1011 | 2020-10-20 |
| 1215535711 | Hope Healthcare System International LLC | Hospice Care, Community Based | 14601 Bellaire Blvd # 151, Houston, TX 77083-2505 | 2020-10-15 |
| 1912505140 | Dfw Plus Hospice Care LLC | Hospice Care, Community Based | 6704 Vista Trl, Plano, TX 75024-7447 | 2020-10-09 |
| 1912514696 | Rainbow Hospice LLC | Hospice Care, Community Based | 11119 Cranstonhill Ct, Richmond, TX 77407-1712 | 2020-09-28 |
| 1205443702 | Avitacare Hospice LLC | Hospice Care, Community Based | 301 N King St Ste 101, Alice, TX 78332-4761 | 2020-09-28 |
| 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.