CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY (NPI# 1538624507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538624507 |
| Entity Type | Organization |
| Organization Name | CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY |
| Practice Address |
2300 S Oak Grove Rd Ennis TX 75119-6841 |
| Mailing Address |
1507 W Main St Gatesville TX 76528-1024 |
| Practice Telephone | 9728758643 |
| Mailing Telephone | 2548656251 |
| Enumeration Date | 2019-02-04 |
| Last Update Date | 2019-02-04 |
| Authorized Official Name | DAVID BYROM (CEO) |
| Authorized Official Telephone | 2548656251 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Bluebonnet Rehab at Ennis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780298547 | Coryell County Memorial Hospital Authority | Clinic/Center | 498 Avenue E, Moody, TX 76557-3579 | 2020-08-31 |
| 1780124594 | Coryell County Memorial Hospital Authority | Skilled Nursing Facility | 121 Commons, Athens, TX 75751-0009 | 2017-02-27 |
| 1962891523 | Coryell County Memorial Hospital Authority | Skilled Nursing Facility | 3505 S Buckner Blvd Bldg 5, Dallas, TX 75227-5451 | 2015-01-20 |
| 1952531824 | Coryell County Memorial Hospital Authority | Family Medicine | 3401 East Main Street, Gatesville, TX 76528-1028 | 2009-07-24 |
| 1457468431 | Coryell County Memorial Hospital Authority | Skilled Nursing Facility | 7801 Woodway Dr, Woodway, TX 76712-3860 | 2006-08-24 |
| 1669589610 | Coryell County Memorial Hospital Authority | Skilled Nursing Facility | 8501 Laurens Ln, San Antonio, TX 78218-6092 | 2006-08-24 |
| 1447296264 | Coryell County Memorial Hospital Authority | Nursing Facility/Intermediate Care Facility | 110 Chicktown Road, Gatesville, TX 76528-1035 | 2006-06-21 |
| 1518900778 | Coryell County Memorial Hospital Authority | Clinic/Center | 1510 Hannah Valley Rd, Goldthwaite, TX 76844-2533 | 2006-06-14 |
| 1568417491 | Coryell County Memorial Hospital Authority | Emergency Medicine | 1507 West Main Street, Gatesville, TX 76528-1024 | 2006-05-22 |
| 1649760877 | Coryell County Memorial Hospital Authority | Skilled Nursing Facility | 7625 Glenview Dr, Richland Hills, TX 76180-8331 | 2018-05-14 |
| Street Address |
2300 S OAK GROVE RD |
| City | ENNIS |
| State | TX |
| Zip Code | 75119-6841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598751166 | Independent Order of Odd Fellows Grand Lodge 100f of Texas | Nursing Facility/Intermediate Care Facility | 2300 S Oak Grove Rd, Ennis, TX 75119-6841 | 2005-09-20 |
| 1295207132 | Mallory L Martin | Physical Therapy Assistant | 2300 S Oak Grove Rd, Ennis, TX 75119-6841 | 2018-12-17 |
| 1689144594 | Angela Kellam | Physical Therapy Assistant | 2300 S Oak Grove Rd, Ennis, TX 75119-6841 | 2018-12-04 |
| 1851872519 | Trissha Belle Balangue Bautista | Occupational Therapy Assistant | 2300 S Oak Grove Rd, Ennis, TX 75119-6841 | 2018-08-22 |
| 1801377510 | Linda Carol Mach | Occupational Therapy Assistant | 2300 S Oak Grove Rd, Ennis, TX 75119-6841 | 2018-08-22 |
| 1558841338 | Stephanie Lee Humann | Occupational Therapy Assistant | 2300 S Oak Grove Rd, Ennis, TX 75119-6841 | 2018-08-21 |
| 1013497767 | Sherri Lynn Berry | Occupational Therapy Assistant | 2300 S Oak Grove Rd, Ennis, TX 75119-6841 | 2018-08-21 |
| 1538489513 | Harichandra Vennelakanti | Physical Therapist | 2300 S Oak Grove Rd, Ennis, TX 75119-6841 | 2010-06-02 |
| 1396972337 | Gerald Noterman | Physical Therapist | 2300 S Oak Grove Rd, Ennis, TX 75119-6841 | 2009-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174121859 | Alexandria Etuk | Pharmacist | 101 Sh-437 Spur, Ennis, TX 75119 | 2020-10-14 |
| 1285279158 | Oluchi Ozumba Md Pa | Pain Medicine | 601 S Cly St, Suite 104, Ennis, TX 75119 | 2019-11-14 |
| 1952806085 | Ikids Pediatric Dentistry Ennis, Pllc | Dentist | 711 S Clay St Ste A, Ennis, TX 75119 | 2018-03-29 |
| 1609382068 | Living Single LLC | Residential Treatment Facility, Physical Disabilities | 809 E. Denton Street, Ennis, TX 75119 | 2017-12-21 |
| 1912363300 | Erin Denise Jackson | Counselor | 219 W. Brown St, Suite A, Ennis, TX 75119 | 2016-01-14 |
| 1164769139 | Matthew Garrett Cooper | Nurse Anesthetist, Certified Registered | 2201 W. Lampasas Street, Ennis, TX 75119 | 2013-01-11 |
| 1922343805 | Braces R Us PC | Dentist | 1012 E. Ennis Ave. Ste. C, Ennis, TX 75119 | 2012-12-04 |
| 1154684355 | Stefanie Nicole Rust | Emergency Medicine | 2201 West Lampasas Street, Ennis, TX 75119 | 2012-06-21 |
| 1265710909 | Traditions Health Care of Ennis, LLC | Home Health | 109 Southwest Main Street, Suite A, Ennis, TX 75119 | 2011-07-29 |
| 1578792370 | Peak Physical Therapy and Rehabilitation LLC | Physical Therapist | 2200 Physicians Blvd, Ste D, Ennis, TX 75119 | 2009-07-14 |
| Find all providers in zip 75119 | ||||
| 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 |
|---|---|---|---|---|
| 1033154844 | Madison County Finance | Skilled Nursing Facility | 211 N Main Street, Ennis, MT 59729-0335 | 2006-06-17 |
| 1467434431 | Preferred Care Health Facilities of Texas I Inc | Skilled Nursing Facility | 1200 S Hall St, Ennis, TX 75119-6318 | 2005-11-16 |
| 1316935182 | Claystone Healthcare Center | Skilled Nursing Facility | 1107 S Clay St, Ennis, TX 75119-6414 | 2005-10-06 |
| 1366963654 | Fannin County Hospital Authority | Skilled Nursing Facility | 1200 S Hall St, Ennis, TX 75119-6318 | 2017-06-28 |
| 1033570908 | Eastland Memorial Hospital District | Skilled Nursing Facility | 1400 Medical Center Dr, Ennis, TX 75119-1587 | 2016-03-18 |
| 1538491741 | Legend Oaks - Ennis, LLC | Skilled Nursing Facility | 1400 Medical Center Drive, Ennis, TX 75119-1587 | 2010-02-12 |
| 1356397152 | Senior Living Properties LLC | Skilled Nursing Facility | 1107 S Clay St, Ennis, TX 75119-6414 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285233171 | Center At Zaragoza, LLC | Skilled Nursing Facility | 12660 Pebble Hills Blvd., El Paso, TX 79936 | 2020-10-21 |
| 1609473362 | Touchstone Strategies - Penitas, LLC | Skilled Nursing Facility | 414 Liberty Blvd., Penitas, TX 78576 | 2020-10-06 |
| 1649884313 | Springtown Ventures Lp | Skilled Nursing Facility | 201 Williams Ward Rd., Springtown, TX 76082 | 2020-09-01 |
| 1821601691 | Altamira Healthcare LLC | Skilled Nursing Facility | 200 Carla St, Zapata, TX 78076-3114 | 2020-08-31 |
| 1538770839 | Go Operations 3 LLC | Skilled Nursing Facility | 4366 Lockhill Selma, Shavano, TX 78249 | 2020-08-11 |
| 1912516329 | Patriot Skilled Nursing and Rehabilitation LLC | Skilled Nursing Facility | 11490 Gateway N Blvd., El Paso, TX 79934 | 2020-07-31 |
| 1972112464 | The Brixton At Horseshoe Bay | Skilled Nursing Facility | 15101 West Fm 2147, Horseshoe Bay, TX 78657 | 2020-07-30 |
| 1558984278 | Slp Johnson City LLC | Skilled Nursing Facility | 206 Haley Rd, Johnson City, TX 78636-4617 | 2020-05-28 |
| 1073136149 | Continuum Rehab Group | Skilled Nursing Facility | 3326 Burgoyne St # 1432, Dallas, TX 75233-1304 | 2020-05-24 |
| 1750904264 | Frank Villanueva | Skilled Nursing Facility | 711 W Broadway St, Denver City, TX 79323-3000 | 2020-05-19 |
| 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.