LONGVIEW I ENTERPRISES, LLC (NPI# 1437117272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437117272 |
| Entity Type | Organization |
| Organization Name | LONGVIEW I ENTERPRISES, LLC |
| Other Organization Name | PINE TREE LODGE NURSING CENTER |
| Practice Address |
2711 Pine Tree Rd Longview TX 75604-1646 |
| Practice Telephone | 9037593994 |
| Practice Fax Number | 9037591439 |
| Mailing Telephone | 9037593994 |
| Mailing Fax Number | 9037591439 |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2017-03-29 |
| Authorized Official Name | GARY BLAKE (MANAGING MEMBER) |
| Authorized Official Telephone | 8173488841 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 111739 | TX | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 165860101 | 05 | |
| TX | MEDICAID VENDOR # | 004989 | 01 |
| TX | 001004827 | 05 |
| Other Name | Type Code |
|---|---|
| Pine Tree Lodge Nursing Center | Doing Business As Name - Organization |
| Street Address |
2711 PINE TREE RD |
| City | LONGVIEW |
| State | TX |
| Zip Code | 75604-1646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245887587 | Leah Montandon | Occupational Therapy Assistant | 2711 Pine Tree Rd, Longview, TX 75604-1646 | 2019-08-21 |
| 1932768603 | Tina Lampkin | Physical Therapy Assistant | 2711 Pine Tree Rd, Longview, TX 75604-1646 | 2019-06-06 |
| 1255812061 | Harry Bloodworth | Occupational Therapy Assistant | 2711 Pine Tree Rd, Longview, TX 75604-1646 | 2018-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962972521 | Samantha Chanee Snorton | Registered Nurse | 136 Jester Circle, Longivew, TX 75604 | 2018-11-27 |
| 1194222570 | Sns House of Care, Inc. | Hospice Care, Community Based | 3549 Gilmer Rd Ste I, Longview, TX 75604 | 2018-04-11 |
| 1891233987 | Danielle Heard | Nutritionist | 1605 Glenrose St, Longview, TX 75604 | 2017-02-08 |
| 1932554110 | Nec Longview Emergency Center, Lp | Clinic/Center | 1801 W. Loop 281, Longview, TX 75604 | 2016-04-26 |
| 1972937316 | Tricia G. Green | Clinical Nurse Specialist | 907 Kincaid Pl, Longview, TX 75604 | 2013-08-21 |
| 1457601817 | Sherri Nussbaum | Counselor | 3400 West Marshall Suite 309, Austin Bank Building, Longview, TX 75604 | 2012-09-13 |
| 1992061691 | Chelsea Carson Schulz | Dietitian, Registered | 6206 Iola Ave, Suite 109, Lubbock, TX 75604 | 2012-04-06 |
| 1699006312 | Bell2bell, LLC | Community/Behavioral Health | 1809 Nw Loop 281, Suite 107, Longview, TX 75604 | 2010-01-20 |
| 1255668901 | David M Vaughan | Pharmacist | 1778 W Loop 281, Longview, TX 75604 | 2009-11-17 |
| 1457587099 | David S. Risner Jr. | Ophthalmology | 2394 H G Mosley Parkway, Longview, TX 75604 | 2009-06-10 |
| Find all providers in zip 75604 | ||||
| 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 |
|---|---|---|---|---|
| 1659756047 | Gruenepointe 1 Longview, LLC | Skilled Nursing Facility | 2131 Alpine Rd, Longview, TX 75601-3402 | 2015-07-27 |
| 1861818635 | Hopkins County Hospital District | Skilled Nursing Facility | 1154 E Hawkins Pkwy, Longview, TX 75605-7975 | 2014-03-17 |
| 1689840266 | Legacy Healthcare Services, Inc. | Skilled Nursing Facility | 1517 Edna Ln, Longview, TX 75602-4915 | 2008-05-05 |
| 1063571552 | Buckner Retirement Services, Inc | Skilled Nursing Facility | 2201 Horseshoe Ln, Longview, TX 75605-5650 | 2006-12-08 |
| 1487600706 | Hopkins County Hospital District | Skilled Nursing Facility | 3201 4th St, Longview, TX 75605-5145 | 2006-05-26 |
| 1750335345 | Linderian Company, Ltd | Skilled Nursing Facility | 301 Hollybrook Dr, Longview, TX 75605-2461 | 2006-05-19 |
| 1659337384 | Whispering Pines Lodge Illp | Skilled Nursing Facility | 2131 Alpine Road, Longview, TX 75601 | 2006-04-21 |
| 1437125937 | Clairmont Longview, Lp | Skilled Nursing Facility | 3201 N 4th St, Longview, TX 75605-5145 | 2006-02-24 |
| 1578551768 | Highland Pines Nursing Home, Ltd | Skilled Nursing Facility | 1100 N 4th St, Longview, TX 75601-4739 | 2005-10-11 |
| 1104811207 | Evergreen Washington Healthcare Frontier, L.L.C. | Skilled Nursing Facility | 1500 3rd Ave, Longview, WA 98632-8632 | 2005-09-14 |
| Find all providers in LONGVIEW | ||||
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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.