HOLLAND LAKE NURSING CENTER LTD (NPI# 1669477147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669477147 |
| Entity Type | Organization |
| Organization Name | HOLLAND LAKE NURSING CENTER LTD |
| Practice Address |
1201 Holland Lake Dr Weatherford TX 76086-5851 |
| Mailing Address |
Po Box 122267 Fort Worth TX 76121-2267 |
| Practice Telephone | 8175980160 |
| Practice Fax Number | 8175980162 |
| Mailing Telephone | 8175980160 |
| Mailing Fax Number | 8175980162 |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. SUE HAYES (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 8175980160 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 113174 | TX | Nursing & Custodial Care Facilities |
| Street Address |
1201 HOLLAND LAKE DR |
| City | WEATHERFORD |
| State | TX |
| Zip Code | 76086-5851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083196646 | Laura Richardson | Occupational Therapy Assistant | 1201 Holland Lake Dr, Weatherford, TX 76086-5851 | 2018-08-30 |
| 1386126027 | Sally Jean Davis | Occupational Therapist | 1201 Holland Lake Dr, Weatherford, TX 76086-5851 | 2018-08-29 |
| 1447730791 | Catherine Saathoff | Speech-Language Pathologist | 1201 Holland Lake Dr, Weatherford, TX 76086-5851 | 2018-08-16 |
| 1831679109 | Alyssa Shay Mckennon | Occupational Therapy Assistant | 1201 Holland Lake Dr, Weatherford, TX 76086-5851 | 2018-08-16 |
| 1053891325 | Jessica Bailey Shell | Physical Therapy Assistant | 1201 Holland Lake Dr, Weatherford, TX 76086-5851 | 2018-08-16 |
| 1871073148 | Lyndsey Franklin | Physical Therapy Assistant | 1201 Holland Lake Dr, Weatherford, TX 76086-5851 | 2018-08-16 |
| 1790157519 | Holland Lake Scc LLC | Skilled Nursing Facility | 1201 Holland Lake Dr, Weatherford, TX 76086-5851 | 2015-10-21 |
| 1851781140 | Fran Freed | Physical Therapy Assistant | 1201 Holland Lake Dr, Weatherford, TX 76086-5851 | 2015-01-26 |
| 1386067148 | Robin Watson | Occupational Therapy Assistant | 1201 Holland Lake Dr, Weatherford, TX 76086-5851 | 2014-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104434810 | Beverly Diana Blair | Licensed Vocational Nurse | 870 Columbia Drive, Weatherford, Weatherford, TX 76086 | 2020-07-20 |
| 1275027385 | Star Family Medicine Pllc | Family Medicine | 933 Hilltop Dr Ste 100, Weatherford, TX 76086 | 2018-06-21 |
| 1174011324 | Anuj Yogesh Vyas | Student in an Organized Health Care Education/Training Program | Medical City Weatherford 713 E. Anderson, Weatherford, TX 76086 | 2018-04-24 |
| 1003321068 | Kleven Chiropractic, LLC | Chiropractor | 925 Santa Fe Drive, Suite #111, Weatherford, TX 76086 | 2017-12-12 |
| 1417471467 | Weatherford Health Services, LLC | General Acute Care Hospital | 713 East Anderson Street, Weatherford, TX 76086 | 2017-08-01 |
| 1710401021 | Kyle Evan Meason | Dentist | 2035 Fort Worth Hwy Ste 600, Weatherford, TX 76086 | 2017-07-28 |
| 1457898520 | Apmd LLC | Clinic/Center | 110 W I-20 Frontage Rd, Suite 130, Weatherford, TX 76086 | 2017-01-26 |
| 1861934887 | Laura Neel | Occupational Therapist | 250 Sante Fe Dr, Weatherford, TX 76086 | 2016-11-08 |
| 1588022040 | Heather Goddard | Nurse Practitioner | 920 Sante Fe Drive, Weatherford, TX 76086 | 2016-01-29 |
| 1689049413 | The Dermatology Spot Pllc | Dermatology | 1841 Martin Dr, 200, Weatherford, TX 76086 | 2015-12-04 |
| Find all providers in zip 76086 | ||||
| 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 |
|---|---|---|---|---|
| 1780021915 | Parker County Hospital District | Skilled Nursing Facility | 970 Hilltop Dr, Weatherford, TX 76086-5488 | 2013-05-29 |
| 1679721344 | Parker County Hospital District | Skilled Nursing Facility | 1715 Martin Dr, Weatherford, TX 76086-6738 | 2008-09-05 |
| 1073634366 | Seminole Hospital District of Gaines County Texas | Skilled Nursing Facility | 521 W 7th St, Weatherford, TX 76086-1536 | 2007-04-03 |
| 1215923008 | Keeneland Nursing and Rehabilitation Lp | Skilled Nursing Facility | 700 S Bowie Dr, Weatherford, TX 76086-5140 | 2005-09-27 |
| 1790157519 | Holland Lake Scc LLC | Skilled Nursing Facility | 1201 Holland Lake Dr, Weatherford, TX 76086-5851 | 2015-10-21 |
| 1568861888 | Palo Pinto County Hospital District | Skilled Nursing Facility | 1205 Santa Fe Dr, Weatherford, TX 76086-5819 | 2014-08-22 |
| 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 | ||||
| City | WEATHERFORD |
| Zip Code | 76086 |
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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.