ER OPCO PARKS LLC (NPI# 1770973851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770973851 |
Entity Type | Organization |
Organization Name | ER OPCO PARKS LLC |
Other Organization Name | PARKS HEALTH CENTER |
Practice Address |
111 Parks Village Dr Odessa TX 79765-8987 |
Mailing Address |
1 Village Drive Suite 400 Abilene TX 79606 |
Practice Telephone | 4325635707 |
Practice Fax Number | 4325630430 |
Mailing Telephone | 6159152932 |
Enumeration Date | 2015-01-28 |
Last Update Date | 2017-08-22 |
Authorized Official Name | CHRISTOPHER COATES (PRESIDENT) |
Authorized Official Telephone | 6159152932 |
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 |
---|---|
Parks Health Center | Doing Business As Name - Organization |
Street Address |
111 PARKS VILLAGE DR |
City | ODESSA |
State | TX |
Zip Code | 79765-8987 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578546230 | Sears Permian Retirement Corporation | Nursing Facility/Intermediate Care Facility | 111 Parks Village Dr, Odessa, TX 79765-8905 | 2005-11-26 |
1316923204 | James Harold Pollard | Occupational Therapist | 111 Parks Village Dr, Odessa, TX 79765-8911 | 2005-12-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699982827 | James Joseph Kloer | Dentist | 301 S. E. Loop 338, Odessa, TX 79765 | 2007-05-17 |
1417170036 | Jeremy A. Denman, D.d.s., P.C. | Dentist | 8151 Dorado Dr., Odessa, TX 79765 | 2007-04-11 |
1992834261 | Hillary Elizabeth Brunner | Podiatrist | 2903 Billy Hext Road, Odessa, TX 79765 | 2007-03-05 |
1710032388 | Jennifer Douglas | Speech-Language Pathologist | 7009 Stonehenge Rd, Odessa, TX 79765 | 2007-01-24 |
1558319384 | Eyes of Texas, LLP | Ophthalmology | 3527 B1 Billy Hext Road, Odessa, TX 79765 | 2006-05-04 |
1740283019 | Kris Howard | Dermatology | 8141 Dorado Drive, Odessa, TX 79765 | 2005-05-31 |
1962743203 | Basin Podiatry P A | Podiatrist | 2903 Billy Hext Road, Odessa, TX 79765 | 2013-03-12 |
1114540986 | Jaida Thompson | Licensed Practical Nurse | 9100 Andrews Hwy Apt 517, Odessa, TX 79765-1324 | 2020-05-27 |
1780297200 | Evithner Mendoza Ruiz | Registered Nurse | 9100 Andrews Hwy, Odessa, TX 79765-1337 | 2020-08-25 |
1588931984 | Sanket Patel | Pharmacist | 9212 Lamar Ave, Odessa, TX 79765-1452 | 2011-11-30 |
Find all providers in zip 79765 |
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 |
---|---|---|---|---|
1780035667 | Brent Edward Lawler Sr. | Skilled Nursing Facility | 2508 Adams Ave, Odessa, TX 79761-1349 | 2016-06-22 |
1104269448 | Uptown Fs, LLC | Skilled Nursing Facility | 5001 Office Park, Odessa, TX 79762 | 2013-04-16 |
1306897806 | Ggnsc Odessa LLC | Skilled Nursing Facility | 609 Golf St, Odessa, MO 64076-1462 | 2006-05-12 |
1134107683 | Buena Vida Health Services, Inc. | Skilled Nursing Facility | 3800 Englewood Ln, Odessa, TX 79762-7073 | 2006-01-05 |
1922095413 | Deerings Nursing and Rehabilitation Lp | Skilled Nursing Facility | 1020 N County Rd W, Odessa, TX 79763-3436 | 2005-09-30 |
1013903889 | Sienna Nursing and Rehabilitation Lp | Skilled Nursing Facility | 2510 W 8th St, Odessa, TX 79763-3618 | 2005-09-27 |
1619515350 | Odessa IIi Enterprises, LLC | Skilled Nursing Facility | 2510 W 8th St, Odessa, TX 79763-3618 | 2019-12-12 |
1285272922 | Odessa II Enterprises, LLC | Skilled Nursing Facility | 1020 N County Rd W, Odessa, TX 79763-3436 | 2019-12-12 |
1770143521 | Odessa I Enterprises, LLC | Skilled Nursing Facility | 3800 Englewood Ln, Odessa, TX 79762-7073 | 2019-06-14 |
1225554421 | Fpacp Odessa LLC | Skilled Nursing Facility | 2443 W 16th St, Odessa, TX 79763-2701 | 2017-08-18 |
Find all providers in ODESSA |
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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.