CITY OF ENNIS (NPI# 1649722943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649722943 |
| Entity Type | Organization |
| Organization Name | CITY OF ENNIS |
| Other Organization Name | DECATUR MEDICAL LODGE |
| Practice Address |
701 W Bennett Road Decatur TX 76234-3817 |
| Practice Telephone | 9406262800 |
| Practice Fax Number | 9406262801 |
| Mailing Telephone | 9406262800 |
| Mailing Fax Number | 9406262801 |
| Enumeration Date | 2016-11-03 |
| Last Update Date | 2020-04-30 |
| Authorized Official Name | STEPHEN BARNES (CFO) |
| Authorized Official Telephone | 9728751234 |
| 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 |
|---|---|
| Decatur Medical Lodge | Doing Business As Name - Organization |
| SENIOR CARE HEALTH & REHABILITATION CENTER - DECATUR | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700307964 | City of Ennis | Skilled Nursing Facility | 5000 Thayer Dr, Killeen, TX 76549 | 2017-06-28 |
| 1750833901 | City of Ennis | Skilled Nursing Facility | 901 W Interstate 30, Royse City, TX 75189-7518 | 2016-11-03 |
| 1649362096 | City of Ennis | Ambulance | 206 S Dallas St, Ennis, TX 75119-4747 | 2006-09-29 |
| 1598221442 | City of Ennis | Skilled Nursing Facility | 5524 Cowhorn Creek Rd, Texarkana, TX 75503-9101 | 2019-02-15 |
| 1437615390 | City of Ennis | Skilled Nursing Facility | 6600 9th Ave, Port Arthur, TX 77642-6411 | 2019-02-15 |
| 1679039531 | City of Ennis | Skilled Nursing Facility | 3210 W Highway 22, Corsicana, TX 75110-2449 | 2019-02-15 |
| 1568928505 | City of Ennis | Skilled Nursing Facility | 507 Martin Luther King Blvd, Lubbock, TX 79403-5213 | 2019-02-14 |
| 1932664372 | City of Ennis | Skilled Nursing Facility | 10064 Alameda Ave, Socorro, TX 79927-1801 | 2019-02-08 |
| 1710442785 | City of Ennis | Skilled Nursing Facility | 1900 E California St, Gainesville, TX 76240-4400 | 2019-02-04 |
| 1962975011 | City of Ennis | Skilled Nursing Facility | 123 Pecan Blvd, Pittsburg, TX 75686-1816 | 2019-01-10 |
| Street Address |
701 W BENNETT ROAD |
| City | DECATUR |
| State | TX |
| Zip Code | 76234-3817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477102028 | Ursula Eileen Fernandez-plata | Technician | 1221 Cr 4371, Decatur, TX 76234 | 2019-09-06 |
| 1649772377 | Stephanie Jennie Roddenberry | Nurse Practitioner | 2301 S Fm 51 Ste 500, Decatur, TX 76234 | 2018-03-08 |
| 1467731679 | David Gatti Corless | Dentist | 301 W. Main St., Decatur, TX 76234 | 2011-08-05 |
| 1376830067 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 805 W Business Hwy 380, Decatur, TX 76234 | 2011-07-01 |
| 1356667844 | Richard Ryan Ooten | Specialist/Technologist, Other | 239 Harvey Lane, Decatur, TX 76234 | 2010-04-09 |
| 1003049032 | Advanced Gastroenterology Associates, Pa | Internal Medicine | 607 Medical Center Drive, Suite 2600, Decatur, TX 76234 | 2009-08-25 |
| 1831346188 | Rufus John Nelson | Dentist | 1710 S Hwy 51 Ste 20,pmb #176, 1000 W Business Hwy 380, Decatur, TX 76234 | 2008-08-19 |
| 1851558449 | James Lee Hendrick | Counselor | 2304 Fm 51 South, Decatur, TX 76234 | 2008-05-21 |
| 1891964995 | Sheryl A White | Counselor | 1106 E Business Hwy 380, Decatur, TX 76234 | 2008-02-22 |
| 1366625022 | Tower Mutual Holding Company, Inc. | Durable Medical Equipment & Medical Supplies | 206 N. State Street, Decatur, TX 76234 | 2007-12-17 |
| Find all providers in zip 76234 | ||||
| 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 |
|---|---|---|---|---|
| 1396308508 | Decatur Operating Group LLC | Skilled Nursing Facility | 332 River Rd, Decatur, TN 37322-7800 | 2019-04-15 |
| 1083132641 | Decatur Healthcare, LLC | Skilled Nursing Facility | 322 River Road, Decatur, TN 38322 | 2017-09-05 |
| 1134458920 | Pruitthealth - Decatur, LLC | Skilled Nursing Facility | 3200 Panthersville Road, Decatur, GA 30034-3831 | 2009-12-08 |
| 1346419397 | Senior Care Resources, Inc. | Skilled Nursing Facility | 701 Bennett Rd, Decatur, TX 76234-3817 | 2008-02-25 |
| 1356476154 | Adams County Memorial Hospital | Skilled Nursing Facility | 1300 Mercer Ave, Decatur, IN 46733-2407 | 2007-02-22 |
| 1417095266 | Lincoln Manor, Inc. | Skilled Nursing Facility | 2650 N Monroe St, Decatur, IL 62526-3251 | 2007-02-02 |
| 1083630487 | Fair Havens Christian Home, Inc. | Skilled Nursing Facility | 1790 S Fairview Ave, Decatur, IL 62521-4010 | 2006-07-15 |
| 1508818766 | Ggnsc Decatur II LLC | Skilled Nursing Facility | 4115 Glenwood Rd, Decatur, GA 30032-4727 | 2006-05-16 |
| 1669424057 | Ggnsc Decatur IIi LLC | Skilled Nursing Facility | 2787 N Decatur Rd, Decatur, GA 30033-5919 | 2006-05-16 |
| 1760432652 | Sunbridge Healthcare LLC | Skilled Nursing Facility | 1350 14th Ave Se, Decatur, AL 35601-4364 | 2006-05-11 |
| Find all providers in DECATUR | ||||
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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.