PRESBYTERIAN MANOR, INC. (NPI# 1548381437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548381437 |
| Entity Type | Organization |
| Organization Name | PRESBYTERIAN MANOR, INC. |
| Practice Address |
4600 Taft Blvd Wichita Falls TX 76308-4935 |
| Practice Telephone | 9406911710 |
| Practice Fax Number | 9406913742 |
| Mailing Telephone | 9406911710 |
| Mailing Fax Number | 9406913742 |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. WILLIAM JAMES OAKLEY (ADMINISTRATOR) |
| Authorized Official Telephone | 9406911710 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 000143 | TX | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548381700 | Presbyterian Manor, Inc. | Alzheimer Center (Dementia Center) | 5100 Stone Lake Dr, Wichita Falls, TX 76310-8017 | 2007-04-03 |
| Street Address |
4600 TAFT BLVD |
| City | WICHITA FALLS |
| State | TX |
| Zip Code | 76308-4935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356812416 | Angelia Mack | Nurse Practitioner | 4600 Taft Blvd, Wichita Falls, TX 76308-4935 | 2018-12-16 |
| 1093009730 | Diane Kay Ballinger | Occupational Therapist | 4600 Taft Blvd, Wichita Falls, TX 76308-4935 | 2011-05-29 |
| 1730374067 | Sherrie Allison Mcshan | Occupational Therapist | 4600 Taft Blvd, Wichita Falls, TX 76308-4935 | 2007-09-10 |
| 1720299498 | Briana L Stalker | Physical Therapy Assistant | 4600 Taft Blvd, Wichita Falls, TX 76308-4935 | 2007-05-24 |
| 1295954303 | Diana M Ulery | Physical Therapist | 4600 Taft Blvd, Wichita Falls, TX 76308-4935 | 2007-04-25 |
| 1770702342 | Dawn Faske Sonnier | Occupational Therapist | 4600 Taft Blvd, Wichita Falls, TX 76308-4935 | 2007-04-24 |
| 1245457902 | Bobby Joe Miller Jr. | Specialist | 4600 Taft Blvd, Wichita Falls, TX 76308-4935 | 2007-04-20 |
| 1962629758 | Tanya Lenae Stewart | Occupational Therapist | 4600 Taft Blvd, Wichita Falls, TX 76308-4935 | 2007-04-20 |
| 1730306572 | Jaclyn Jo Andrew | Specialist | 4600 Taft Blvd, Wichita Falls, TX 76308-4935 | 2007-04-20 |
| 1205052925 | Rachel Langland King | Speech-Language Pathologist | 4600 Taft Blvd, Wichita Falls, TX 76308-4935 | 2007-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467098434 | D Esthetique Cosmetic &laser Center | Nurse Practitioner | 3916 Callfield Road, Suite 300, Wichita Falls, TX 76308 | 2019-11-25 |
| 1295229029 | Wichita Falls Snf LLC | Skilled Nursing Facility | 4810 Kemp Boulevard, Wichita Falls, TX 76308 | 2018-06-15 |
| 1891295465 | Kelli Dawn Francis | Licensed Vocational Nurse | 4401 Randel, Wichita Falls, TX 76308 | 2018-02-20 |
| 1548789639 | Team Thin and Fit, Pllc | Preventive Medicine | 3602 Grant Street, Wichita Falls, TX 76308 | 2017-09-11 |
| 1972025807 | Louann Whittington | Counselor | 2211 Midwestern Pkwy Ste 2, Wichita Falls, TX 76308 | 2017-07-12 |
| 1487180428 | Metx, LLC | Audiologist-Hearing Aid Fitter | 2911 Bob Ave, Wichita Falls, TX 76308 | 2017-05-11 |
| 1013450295 | Tonya Doyle | Specialist/Technologist, Other | 9 Red Bluff, Wichita Falls, TX 76308 | 2016-11-21 |
| 1851847693 | Wichita Falls Emergency Center, LLC | Clinic/Center | 4121 Southwest Parkway, Wichita Falls, TX 76308 | 2016-08-31 |
| 1053710376 | Baylor County Hospital District | Skilled Nursing Facility | 4810 Kemp Blvd, Wichita Falls, TX 76308 | 2014-08-22 |
| 1386910065 | Family Dentistry of Texoma | Dentist | 4506 Kemp Blvd., Wichita Falls, TX 76308 | 2012-03-28 |
| Find all providers in zip 76308 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669463345 | Wichita Falls Retirement Foundation | Nursing Facility/Intermediate Care Facility | 3006 Mcniel Ave, Wichita Falls, TX 76309-4954 | 2005-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922660471 | Castro County Hospital District | Nursing Facility/Intermediate Care Facility | 701 Butler Blvd, Dimmitt, TX 79027-2720 | 2019-07-05 |
| 1023674520 | Eunice Nadine Hall | Nursing Facility/Intermediate Care Facility | 110 W. Troupe St, Mabank, TX 75147-8651 | 2019-05-10 |
| 1467945626 | Regency Ihs of Windsor Mission Oaks LLC | Nursing Facility/Intermediate Care Facility | 3030 S Roosevelt Ave, San Antonio, TX 78214-2337 | 2018-06-12 |
| 1508363086 | Solomon Ishaq | Nursing Facility/Intermediate Care Facility | 1818 Arundel Dr, Carrollton, TX 75007-3012 | 2018-04-10 |
| 1740798651 | Mission Valley Nursing and Transitional Care LLC | Nursing Facility/Intermediate Care Facility | 1200 S Bryan Rd, Mission, TX 78572-6840 | 2018-01-12 |
| 1841738580 | Su Casa Adult Foster Home | Nursing Facility/Intermediate Care Facility | 12462 Paseo De Arco Ct, El Paso, TX 79928-5669 | 2017-02-02 |
| 1225402753 | West Wharton County Hospital District | Nursing Facility/Intermediate Care Facility | 248 Wisteria Ln, El Campo, TX 77437-2545 | 2015-11-20 |
| 1447635040 | Sarah Padlan I | Nursing Facility/Intermediate Care Facility | 3808 Veterans Blvd, Studio 6, Del Rio, TX 78840-2859 | 2015-07-23 |
| 1902289358 | Fnu Anushree | Nursing Facility/Intermediate Care Facility | 328 Bedford Rd Apt 247, Bedford, TX 76022-8032 | 2015-07-02 |
| 1699154278 | Royal Manor Care Center, Inc. | Nursing Facility/Intermediate Care Facility | 4545 S Buckner Blvd, Dallas, TX 75227-4207 | 2015-05-28 |
| Find all providers with the same taxonomy | ||||
| City | WICHITA FALLS |
| Zip Code | 76308 |
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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.