EASTLAND MEMORIAL HOSPITAL DISTRICT (NPI# 1669929642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669929642 |
| Entity Type | Organization |
| Organization Name | EASTLAND MEMORIAL HOSPITAL DISTRICT |
| Other Organization Name | LEGEND OAKS HEALTHCARE AND REHABILITATION-FORT WORTH |
| Practice Address |
4240 Golden Triangle Boulevard Fort Worth TX 76244 |
| Mailing Address |
27101 Puerta Real Suite 450 Mission Viejo CA 92691-8518 |
| Practice Telephone | 8173806400 |
| Practice Fax Number | 8173806405 |
| Mailing Telephone | 8173806400 |
| Mailing Fax Number | 8173806405 |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2019-04-01 |
| Authorized Official Name | SOON BURNAM (TREASURER OF MANAGEMENT COMPANY) |
| Authorized Official Telephone | 9495401249 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | TX | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Legend Oaks Healthcare and Rehabilitation-Fort Worth | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760005953 | Eastland Memorial Hospital District | Clinic/Center | Walnut Street Clinic, 200 Walnut Street Clinic, Ranger, TX 76448-7644 | 2020-05-21 |
| 1023631306 | Eastland Memorial Hospital District | Clinic/Center | Emh Regional Healthcare Clinic, 2314 W. Commerce Street, Eastland, TX 76448-7644 | 2020-05-21 |
| 1194369546 | Eastland Memorial Hospital District | Skilled Nursing Facility | 3650 Interstate 35 E, Waxahachie, TX 75165 | 2019-10-29 |
| 1417309816 | Eastland Memorial Hospital District | Skilled Nursing Facility | 2625 Belt Line Rd, Garland, TX 75044-7003 | 2016-07-08 |
| 1407202021 | Eastland Memorial Hospital District | Skilled Nursing Facility | 151 Country Meadows Blvd, Waxahachie, TX 75165-7811 | 2016-05-12 |
| 1013310861 | Eastland Memorial Hospital District | Skilled Nursing Facility | 409 S Files St, Itasca, TX 76055-2629 | 2014-10-07 |
| 1841693793 | Eastland Memorial Hospital District | Skilled Nursing Facility | 411 Old Brandon Rd, Hillsboro, TX 76645-2702 | 2014-10-07 |
| 1023353752 | Eastland Memorial Hospital District | Medicare Defined Swing Bed Unit | 304 South Daugherty Street, Eastland, TX 76448 | 2012-12-06 |
| 1659696177 | Eastland Memorial Hospital District | Skilled Nursing Facility | 2135 North Denton Drive, Carrollton, TX 75006-3103 | 2010-03-29 |
| 1891991584 | Eastland Memorial Hospital District | Skilled Nursing Facility | 6850 Rufe Snow Dr, Fort Worth, TX 76148-2355 | 2007-06-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | EASTLAND MEMORIAL HOSPITAL DISTRICT | 304 S Daugherty St, Eastland, TX 76448-2609 |
| Street Address |
4240 GOLDEN TRIANGLE BOULEVARD |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773510 | Aum Nitin Patel | Optometrist | 12584 N Beach Street #122, Keller, TX 76244 | 2020-09-07 |
| 1477178374 | Trinity Spine and Orthopedics, Pllc | Orthopaedic Surgery | 4444 Heritage Trace, Suite 408, Keller, TX 76244 | 2020-06-16 |
| 1235778622 | Hope Family Healthcare LLC | Nurse Practitioner | 4610 Heritage Trace Pkwy, Ste 400, Keller, TX 76244 | 2020-01-02 |
| 1104468917 | Kylie Ann Montgomery | Behavior Technician | 12650 N Beach St Suite 146, Fort Worth, TX 76244 | 2019-10-14 |
| 1376193433 | Ntkc - Dfw, Pllc | Internal Medicine | 10700 Victoria Ash Dr., Keller, TX 76244 | 2019-09-19 |
| 1629628532 | Today Dental of Saginaw Pllc | Dentist | 1628 Basswood Blvd, Fort Worth, TX 76244 | 2019-09-13 |
| 1962050492 | Precision Ambulatory Surgery Center, LLC | Ophthalmology | 9439 North Beach Street, Fort Worth, TX 76244 | 2019-08-28 |
| 1770145351 | Texas Health Spine Surgery Center Alliance LLC | Clinic/Center | 10900 Founders Way, Suite 100, Fort Worth, TX 76244 | 2019-07-03 |
| 1770048720 | Robin Jansen | Occupational Therapy Assistant | 4317 Oak Chase Dr, Keller, TX 76244 | 2019-02-04 |
| 1033687256 | Marian Abibatu James | Nurse Practitioner | 4516 Jaylin St, Keller, TX 76244 | 2018-11-06 |
| Find all providers in zip 76244 | ||||
| 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 |
|---|---|---|---|---|
| 1467973404 | Moc Fort Worth LLC | Skilled Nursing Facility | 6301 Oakmont Blvd, Fort Worth, TX 76132-2814 | 2017-06-29 |
| 1326594052 | Stockyards Healthcare, Inc. | Skilled Nursing Facility | 6301 Oakmont Boulevard, Fort Worth, TX 76132 | 2016-09-01 |
| 1770972572 | Dallas County Hospital District | Skilled Nursing Facility | 7021 Bryant Irvin Rd, Fort Worth, TX 76132-4243 | 2015-01-15 |
| 1497172514 | Stephens Memorial Hospital District | Skilled Nursing Facility | 306 W 7th Strret Suite 430, Fort Worth, TX 76102 | 2014-03-26 |
| 1245662675 | Performance Care Centers LLC | Skilled Nursing Facility | 7021 Bryant Irvin Road, Fort Worth, TX 76132 | 2013-08-08 |
| 1881968808 | Fw Senior Community Ltd Co | Skilled Nursing Facility | 4600 Heritage Trace Pkwy, Fort Worth, TX 76244-8900 | 2012-03-08 |
| 1750679098 | Tarrant County Senior Living Center, Inc. | Skilled Nursing Facility | 2501 Museum Way, Fort Worth, TX 76107-3057 | 2011-07-20 |
| 1386949220 | Remarkable Healthcare of Fort Worth, Lp | Skilled Nursing Facility | 6649 North Riverside Drive, Fort Worth, TX 76137 | 2011-01-25 |
| 1679895163 | Decatur Hospital Authority | Skilled Nursing Facility | 850 12th Ave., Fort Worth, TX 76104-2516 | 2010-02-24 |
| 1821322595 | Prasanna K.n.kumar M.d. F.r.c.s. P.a. | Skilled Nursing Facility | 3813 Diamond Loch W, Fort Worth, TX 76180-8729 | 2009-09-28 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76244 |
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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.