CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY (NPI# 1669880118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669880118 |
| Entity Type | Organization |
| Organization Name | CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY |
| Other Organization Name | QUALITY CARE OF WACO |
| Practice Address |
2501 Maple Ave Waco TX 76707-1337 |
| Practice Telephone | 2547520311 |
| Practice Fax Number | 2547521549 |
| Mailing Telephone | 2547520311 |
| Mailing Fax Number | 2547521549 |
| Enumeration Date | 2014-07-29 |
| Last Update Date | 2014-07-29 |
| Authorized Official Name | DAVID K BYROM (CEO) |
| Authorized Official Telephone | 2542486300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 004837 | 05 |
| Other Name | Type Code |
|---|---|
| QUALITY CARE OF WACO | 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 |
| 1538624507 | Coryell County Memorial Hospital Authority | Skilled Nursing Facility | 2300 S Oak Grove Rd, Ennis, TX 75119-6841 | 2019-02-04 |
| Street Address |
2501 MAPLE AVE |
| City | WACO |
| State | TX |
| Zip Code | 76707-1337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942298146 | Mclennan County Nursing Home | Skilled Nursing Facility | 2501 Maple Ave, Waco, TX 76707-1337 | 2005-10-11 |
| 1720335763 | Kendra Thomas Crill | Occupational Therapy Assistant | 2501 Maple Ave, Waco, TX 76707-1337 | 2012-08-09 |
| 1174795702 | Bonnie L Locke | Occupational Therapy Assistant | 2501 Maple Ave, Waco, TX 76707-1337 | 2008-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588184493 | Yukiyo Shimosawa | Specialist/Technologist | 1010 N 17th St, Waco, TX 76707 | 2017-06-21 |
| 1851730022 | Krystal Ann Estrada | Family Medicine | 1600 Providence Drive, Waco, TX 76707 | 2013-06-20 |
| 1598902744 | Narconon Hawaii | Substance Abuse Rehabilitation Facility | 90-1011 Lexington Avenue, Kapolei, HI 76707 | 2009-01-09 |
| 1851413520 | Albert Bryan Lewter Jr. | Dentist | 1501 N 25th St, Waco, TX 76707 | 2007-04-04 |
| 1114010733 | Remmel Henry | Dentist | 225 W. West Waco Dr., Waco, TX 76707 | 2006-10-02 |
| 1952831968 | Ashley Fowler | Social Worker | 1600 Providence Dr, Waco, TX 76707 | 2017-06-13 |
| 1710368105 | Lauren Riddle | Family Medicine | 1600 Providence Dr, Attn: Traci Mitchell - Admn, Waco, TX 76707 | 2015-06-11 |
| 1780096578 | Calvin Bradley | Family Medicine | 1600 Providence Dr, Waco, TX 76707 | 2014-05-28 |
| 1861831034 | Ryan David Laschober | Family Medicine | 1600 Providence Drive, Waco, TX 76707 | 2013-06-20 |
| 1760821946 | Brandi Escalante Street | Family Medicine | 1600 Providence Drive, Waco, TX 76707 | 2013-06-20 |
| Find all providers in zip 76707 | ||||
| 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 |
|---|---|---|---|---|
| 1598237133 | St. Anthony's Care Center LLC | Skilled Nursing Facility | 7501 Bagby Ave, Waco, TX 76712-6904 | 2018-12-20 |
| 1538631171 | Fourcooks Senior Care, LLC | Skilled Nursing Facility | 329 W Hwy 6 Ste C, Waco, TX 76710-5574 | 2018-12-20 |
| 1295238368 | Waco Sn Opco LLC | Skilled Nursing Facility | 7501 Bagby, Waco, TX 76712 | 2018-03-14 |
| 1790299659 | Woodgate Snf Realty LLC | Skilled Nursing Facility | 6500 Horizon Cir, Waco, TX 76712-6985 | 2017-11-29 |
| 1134501869 | Market Place Health Care, LLC | Skilled Nursing Facility | 2430 Market Place Drive, Waco, TX 76711 | 2015-06-18 |
| 1063858298 | Crockett Senior Care, LLC | Skilled Nursing Facility | 200 W State Hwy 6, Suite 612, Waco, TX 76712 | 2013-05-15 |
| 1669714168 | Royal Manor II | Skilled Nursing Facility | 9101 Panther Way, Waco, TX 76712-8614 | 2013-03-22 |
| 1548591092 | Virginia Marie Humann | Skilled Nursing Facility | 100 Jeffery Street, Waco, TX 76710 | 2010-01-22 |
| 1003085135 | Woodland Springs Healthcare Lp | Skilled Nursing Facility | 1010 Dallas St, Waco, TX 76704 | 2008-02-22 |
| 1497876965 | Seminole Hospital District of Gaines County Texas | Skilled Nursing Facility | 401 Owen Ln, Waco, TX 76710-5558 | 2007-04-03 |
| Find all providers in WACO | ||||
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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.