HOPKINS COUNTY HOSPITAL DISTRICT


Address: 5505 New Copeland Rd, Tyler, TX 75703-3955
Phone: 9039392443

HOPKINS COUNTY HOSPITAL DISTRICT (NPI# 1508254046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508254046
Entity Type Organization
Organization Name HOPKINS COUNTY HOSPITAL DISTRICT
Other Organization Name PROVIDENCE PARK REHABILITATION AND SKILLED NURSING
Practice Address 5505 New Copeland Rd
Tyler
TX 75703-3955
Mailing Address 115 Airport Rd
Sulphur Springs
TX 75482-2105
Practice Telephone 9039392443
Practice Fax Number 9039392479
Mailing Telephone 9034394952
Enumeration Date 2015-01-07
Last Update Date 2015-01-07
Authorized Official Name MICHAEL MCANDREW (CEO)
Authorized Official Telephone 9034394952
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities

Other Provider/Organization Names

Other Name Type Code
Providence Park Rehabilitation and Skilled Nursing Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1861818635 Hopkins County Hospital District Skilled Nursing Facility 1154 E Hawkins Pkwy, Longview, TX 75605-7975 2014-03-17
1487600706 Hopkins County Hospital District Skilled Nursing Facility 3201 4th St, Longview, TX 75605-5145 2006-05-26
1356338503 Hopkins County Hospital District Skilled Nursing Facility 930 S Baxter Ave, Tyler, TX 75701-2209 2005-10-03
1902808355 Hopkins County Hospital District Hospice Care, Community Based 1228 Church St, Sulphur Springs, TX 75482-2195 2005-08-15
1578565917 Hopkins County Hospital District Ambulance 1321 Davis St N, Sulphur Springs, TX 75482-2001 2005-08-15
1073900882 Hopkins County Hospital District Skilled Nursing Facility 508 Pierce St, Lindale, TX 75771-3335 2015-04-20
1770970543 Hopkins County Hospital District Skilled Nursing Facility 2450 E 5th St, Tyler, TX 75701-3525 2015-04-20
1497143044 Hopkins County Hospital District Skilled Nursing Facility 1154 E Hawkins Pkwy, Longview, TX 75605-7975 2015-01-06
1790173367 Hopkins County Hospital District Skilled Nursing Facility 4054 Nw Loop, Carthage, TX 75633-3346 2015-01-05
1356751788 Hopkins County Hospital District Skilled Nursing Facility 115 Airport Rd, Sulphur Springs, TX 75482-2105 2014-05-07

Office Location

Street Address 5505 NEW COPELAND RD
City TYLER
State TX
Zip Code 75703-3955

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538372966 Kimberly Ann Testa Physical Therapist 5505 New Copeland Rd, Tyler, TX 75703-3955 2007-05-08
1922640879 Rodney Smiley Nurse Practitioner 5505 New Copeland Rd, Tyler, TX 75703-3955 2019-10-11
1629550199 Cathy Marie Wise Physical Therapy Assistant 5505 New Copeland Rd, Tyler, TX 75703-3955 2018-08-31
1174005607 Kathryn Hope Johnson Occupational Therapy Assistant 5505 New Copeland Rd, Tyler, TX 75703-3955 2018-08-31
1720560139 Stephen Greene Occupational Therapist 5505 New Copeland Rd, Tyler, TX 75703-3955 2018-08-31
1972085520 Mary E Henson Physical Therapy Assistant 5505 New Copeland Rd, Tyler, TX 75703-3955 2018-08-30
1871075440 Dayna Graves Occupational Therapy Assistant 5505 New Copeland Rd, Tyler, TX 75703-3955 2018-08-30
1194206987 Susan Dailey Occupational Therapy Assistant 5505 New Copeland Rd, Tyler, TX 75703-3955 2018-08-28
1174004329 Jennifer M Washington Physical Therapy Assistant 5505 New Copeland Rd, Tyler, TX 75703-3955 2018-08-26
1487135125 Chona Labrador Physical Therapist 5505 New Copeland Rd, Tyler, TX 75703-3955 2018-08-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174155477 Choice Supportive Care Team Inc. Family Medicine 4293 Kinsey Drive, Tyler, TX 75703 2020-02-05
1770052532 Refinery Chiropractic LLC Chiropractor 16637 Old Jacksonville Hwy, Suite D, Tyler, TX 75703 2018-11-21
1215419353 Deidre Lynn Fergason Occupational Therapy Assistant 3505 Old Jacksonville Hwy, Tyler, TX 75703 2018-09-05
1710473681 Justin Taylor Ross Dentist 8938 S Broadway Ave Ste 380, Tyler, TX 75703 2018-07-03
1457843450 Adam Tyler Barnes, Dds of Texas II, Pllc Dentist 8938 South Broadway, Ste 480, Tyler, TX 75703 2018-06-05
1083106462 Integrity Health Internal Medicine 5605 Old Bullard Rd Ste B, Tyler, TX 75703 2018-06-01
1427572544 Cody Wayne Graham Pharmacist 5415 S. Broadway Ave., Tyler, TX 75703 2017-07-31
1750805941 Roger Bryan Chapman Nurse Practitioner 6115 New Copeland Rd, Tyler, TX 75703 2017-07-28
1427570084 Darah Lynne Dahlem Speech-Language Pathologist 401 E. Front Street Ste 123, Tyler, TX 75703 2017-07-14
1194267468 Herman Lester Hampton Jr. Surgery 5803 Regents Row, Tyler, TX 75703 2016-11-17
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Taxonomy Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396291969 The Center At Grande, LLC Skilled Nursing Facility 3219 East Grande Blvd, Tyler, TX 75707 2016-09-01
1972902245 Titus County Hospital District Skilled Nursing Facility 3505 Old Jacksonvil Rd, Tyler, TX 75701-8510 2014-08-22
1104249317 Rehab Pro Lp Skilled Nursing Facility 17521 Us Highway 69 S Ste 120, Tyler, TX 75703-5376 2014-01-23
1801228986 Touchstone Strategies - Tyler LLC Skilled Nursing Facility 2650 Elkton Trl, Tyler, TX 75703-0580 2013-07-31
1790004679 Touchstone Strategies, LLC Skilled Nursing Facility 2650 Elkton Trail, Tyler, TX 75703 2010-05-18
1255654133 Sears Tyler Methodist Retirement Corporation Skilled Nursing Facility 16044 County Road 165, Tyler, TX 75703-7302 2010-03-08
1982886578 Hsmtx Waterton Plaza, LLC Skilled Nursing Facility 2875 Shiloh Rd, Tyler, TX 75703-2936 2007-12-05
1477694545 Azalea Place Operating Company Skilled Nursing Facility 810 S Porter Ave, Tyler, TX 75701-2300 2007-02-09
1629135975 Park Place Tyler Healthcare, LLC Skilled Nursing Facility 2450 E 5th St, Tyler, TX 75701-3525 2007-01-03
1477610814 Melrose Hcc, LLC Skilled Nursing Facility 1501 W 29th St, Tyler, TX 75702-1404 2007-01-03
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Competitor

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City TYLER
Zip Code 75703

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Dataset Information

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.

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