SUMMIT LTC KENNEDALE, LLC (NPI# 1861943110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861943110 |
| Entity Type | Organization |
| Organization Name | SUMMIT LTC KENNEDALE, LLC |
| Other Organization Name | PECAN MANOR NURSING & REHABILITATION |
| Practice Address |
413 Mansfield Cardinal Rd Kennedale TX 76060-2805 |
| Mailing Address |
1412 Virginia Pl Fort Worth TX 76107-2466 |
| Practice Telephone | 8175614495 |
| Mailing Telephone | 8176814811 |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2016-10-21 |
| Authorized Official Name | CHRISTOPHER M SLIMMER (MANAGER) |
| Authorized Official Telephone | 8176814811 |
| 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 |
|---|---|
| PECAN MANOR NURSING & REHABILITATION | Doing Business As Name - Organization |
| Street Address |
413 MANSFIELD CARDINAL RD |
| City | KENNEDALE |
| State | TX |
| Zip Code | 76060-2805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366433518 | Pecan Manor Nursing and Rehabilitation Lp | Skilled Nursing Facility | 413 Mansfield Cardinal Rd, Kennedale, TX 76060-2805 | 2005-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558840652 | Heather N Smith | Speech-Language Pathologist | 140 W Kennedale Pkwy, Kennedale, TX 76060 | 2018-08-09 |
| 1932317575 | Kennedale Isd | Local Education Agency (LEA) | 140 W Kennedale Pwky, Kennedale, TX 76060 | 2007-05-18 |
| 1508873985 | Texas Quality Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 925 Kennedale Pkwy, Kennedale, TX 76060 | 2006-08-01 |
| 1083654974 | Judy Pricer Mathea | Counselor | 801 A Kennedale Sublett Rd, Kennedale, TX 76060 | 2006-06-08 |
| 1790879302 | Plum Tree | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 925 Kennedale Pkwy, Kennedale, TX 76060 | 2006-10-03 |
| 1902999766 | Peachtree Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 925 Kennedale Pkwy, Kennedale, TX 76060 | 2006-10-02 |
| 1376555037 | Ray's Pharmacy, Inc. | Pharmacy | 301 W Kennedale Pkwy, Kennedale, TX 76060-2421 | 2006-08-12 |
| 1346327509 | Deanna Dean Lowe | Pharmacist | 301 W Kennedale Pkwy, Kennedale, TX 76060-2421 | 2006-11-01 |
| 1255704516 | Kennedale Family Dentistry& Orthodontics,pllc | Dentist | 201 W Kennedale Pkwy, Building5,suite512, Kennedale, TX 76060-2435 | 2015-11-09 |
| 1659837763 | Rainey Nicole Prater | Occupational Therapy Assistant | 202 Hillside Dr, Kennedale, TX 76060-2601 | 2019-02-13 |
| Find all providers in zip 76060 | ||||
| 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 |
|---|---|---|---|---|
| 1366433518 | Pecan Manor Nursing and Rehabilitation Lp | Skilled Nursing Facility | 413 Mansfield Cardinal Rd, Kennedale, TX 76060-2805 | 2005-11-04 |
| 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 | ||||
Please comment or provide details below to improve the information on SUMMIT LTC KENNEDALE, LLC.
| 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.