DECATUR HOSPITAL AUTHORITY (NPI# 1780074914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780074914 |
Entity Type | Organization |
Organization Name | DECATUR HOSPITAL AUTHORITY |
Other Organization Name | SAN REMO |
Practice Address |
3550 N Shiloh Rd Richardson TX 75082-2464 |
Mailing Address |
2537 Golden Bear Dr Carrollton TX 75006-2377 |
Practice Telephone | 9722314810 |
Enumeration Date | 2015-01-26 |
Last Update Date | 2015-08-26 |
Authorized Official Name | STEPHEN M SUMMERS (CEO) |
Authorized Official Telephone | 9496275921 |
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 | MEDICARE CCN | 67-6256 | 01 |
Other Name | Type Code |
---|---|
San Remo | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407229529 | Decatur Hospital Authority | General Acute Care Hospital | 3200 N Tarrant Pkwy, Fort Worth, TX 76177-8611 | 2015-11-11 |
1033508536 | Decatur Hospital Authority | Clinic/Center | 600 E Bailey Boswell Rd, Suite 100, Saginaw, TX 76131-3565 | 2015-01-21 |
1336543081 | Decatur Hospital Authority | Skilled Nursing Facility | 1005 Ira E. Woods Parkway, Grapevine, TX 76051-4018 | 2014-10-09 |
1679895163 | Decatur Hospital Authority | Skilled Nursing Facility | 850 12th Ave., Fort Worth, TX 76104-2516 | 2010-02-24 |
1275690216 | Decatur Hospital Authority | Psychiatric Unit | 2000 South Fm 51, Decatur, TX 76234 | 2007-01-02 |
1730242538 | Decatur Hospital Authority | Clinic/Center | 2150 S Fm 51, Decatur, TX 76234 | 2006-12-19 |
1033153762 | Decatur Hospital Authority | Skilled Nursing Facility | 5801 Bryant Irvin Rd, Fort Worth, TX 76132 | 2006-06-15 |
1598726358 | Decatur Hospital Authority | Skilled Nursing Facility | 601 Midwestern Pkwy E, Wichita Falls, TX 76302-2401 | 2006-03-31 |
1427682137 | Decatur Hospital Authority | General Acute Care Hospital | 3200 N Tarrant Pkwy, Fort Worth, TX 76177-8611 | 2020-03-03 |
1053945766 | Decatur Hospital Authority | General Acute Care Hospital | 609 Medical Center Dr, Decatur, TX 76234-3836 | 2020-03-03 |
Street Address |
3550 N SHILOH RD |
City | RICHARDSON |
State | TX |
Zip Code | 75082-2464 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063736882 | Sr Senior Community Ltd. Co | Skilled Nursing Facility | 3550 N Shiloh Rd, Richardson, TX 75082-2464 | 2010-03-23 |
1356995252 | Dallas County Hospital District | Skilled Nursing Facility | 3550 N Shiloh Rd, Richardson, TX 75082-2464 | 2019-07-29 |
1255811303 | Maria Ibana Santos | Physical Therapist | 3550 N Shiloh Rd, Richardson, TX 75082-2464 | 2018-08-17 |
1497234629 | Glenna Michell Skinner | Physical Therapy Assistant | 3550 N Shiloh Rd, Richardson, TX 75082-2464 | 2018-08-08 |
1396224556 | Marissa A Tijerina | Occupational Therapy Assistant | 3550 N Shiloh Rd, Richardson, TX 75082-2464 | 2018-08-08 |
1154800530 | Suja Koshy | Physical Therapy Assistant | 3550 N Shiloh Rd, Richardson, TX 75082-2464 | 2018-08-07 |
1922587393 | Tina Michele Macke | Occupational Therapy Assistant | 3550 N Shiloh Rd, Richardson, TX 75082-2464 | 2018-08-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124505367 | Texas Center for Hip & Knee Replacement Surgery, Pllc | Orthopaedic Surgery | Texas Center for Hip & Knee Replacement Surgery, Pllc, 2821 E. President George Bush Hwy, Suite 300, Richardson, TX 75082 | 2018-07-20 |
1033600481 | Hospital Specialist 4 Kids Pllc | Pediatrics | 1250 Hunt St Apt 1512, Richardson, TX 75082 | 2018-05-22 |
1174021760 | Kevin V Hua | Dentist | 4251 E. Renner Rd-, #126, Richardson, TX 75082 | 2018-01-29 |
1912410739 | Ntx Anesthesiology Consultants Pllc | Anesthesiology | 2100 Lakeside Blvd Ste 250, Richardson, TX 75082 | 2017-11-15 |
1982123931 | Jessica A Baxter | Occupational Therapist | 2150 Lakeside Blvd #150, Richardson, TX 75082 | 2017-09-11 |
1720509763 | Neylu Inc | Durable Medical Equipment & Medical Supplies | 45 Dunrobin, Richardson, TX 75082 | 2017-06-29 |
1578006342 | Janice Sun Couch | Registered Nurse | 3201 E Pres. Georgebush Hwy St. 101, Richardson, TX 75082 | 2016-11-29 |
1134678873 | Fresenius Medical Care Renner Road, LLC | Clinic/Center | 3317 Essex Dr Ste 150, Richardson, TX 75082 | 2016-09-22 |
1639529308 | James G Gray | Counselor | 101 W Renner Rd Ste 220, Richardson, TX 75082 | 2016-06-14 |
1245695907 | Richardson Smiles Pllc | Dentist | 2000 N Plano Rd #106, Richardson, TX 75082 | 2015-12-23 |
Find all providers in zip 75082 |
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 |
---|---|---|---|---|
1326565292 | Go Operations 6 LLC | Skilled Nursing Facility | 1610 Richardson Drive, Richardson, TX 75080 | 2017-08-23 |
1063736882 | Sr Senior Community Ltd. Co | Skilled Nursing Facility | 3550 N Shiloh Rd, Richardson, TX 75082-2464 | 2010-03-23 |
1265663793 | Rmr Healthcare Richardson, LLC | Skilled Nursing Facility | 1350 E Lookout Dr, Richardson, TX 75082-4106 | 2009-07-31 |
1821185018 | Thi of Texas At Richardson, LLC | Skilled Nursing Facility | 1111 Rockingham Dr, Richardson, TX 75080-4309 | 2006-10-07 |
1104848035 | Lindan Park Care Center Lp | Skilled Nursing Facility | 1510 N Plano Rd, Richardson, TX 75081-2429 | 2006-07-23 |
1972566867 | Dallas County Hospital District | Skilled Nursing Facility | 1301 Richardson Dr, Richardson, TX 75080-4648 | 2006-04-11 |
1356995252 | Dallas County Hospital District | Skilled Nursing Facility | 3550 N Shiloh Rd, Richardson, TX 75082-2464 | 2019-07-29 |
1700366549 | Tamra Gail Browne | Skilled Nursing Facility | 1510 N Plano Rd, Richardson, TX 75081-2429 | 2018-08-21 |
1750869715 | Regency Ihs of Richardson LLC | Skilled Nursing Facility | 1350 E Lookout Dr, Richardson, TX 75082 | 2018-08-01 |
1942695242 | Groom Transitional Care LLC | Skilled Nursing Facility | 401 W Campbell Rd, Richardson, TX 75080-3416 | 2015-04-02 |
Find all providers in RICHARDSON |
City | RICHARDSON |
Zip Code | 75082 |
Please comment or provide details below to improve the information on DECATUR HOSPITAL AUTHORITY.
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.