BERTRAM NURSING AND REHABILITATION, LP (NPI# 1922401728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922401728 |
| Entity Type | Organization |
| Organization Name | BERTRAM NURSING AND REHABILITATION, LP |
| Practice Address |
540 E. Highway 29 Bertram TX 78605 |
| Mailing Address |
401 N Elm St Denton TX 76201-4137 |
| Practice Telephone | 5123352116 |
| Mailing Telephone | 9403874388 |
| Mailing Fax Number | 9403802410 |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2019-02-15 |
| Authorized Official Name | MR. DAN D. FLAGG (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 9403874388 |
| 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 | 001029535 | 05 |
| Street Address |
540 E. HIGHWAY 29 |
| City | BERTRAM |
| State | TX |
| Zip Code | 78605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942685383 | Shady Shores of Bertram LLC | Skilled Nursing Facility | 540 E. Highway 29, Bertram, TX 78605-4473 | 2015-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518424027 | Jennifer Boehm Gattuso | Occupational Therapy Assistant | 540 Hwy 29, Bertram, TX 78605 | 2019-02-21 |
| 1871073676 | Heidi Lynn Hall | Occupational Therapy Assistant | 540 E. Hwy 29, Bertram, TX 78605 | 2018-08-21 |
| 1437604162 | Vicki J Bates | Counselor | 150 S. West St., Bertram, TX 78605 | 2016-08-23 |
| 1649657610 | D&s Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 648 West Cedar Street, Bertram, TX 78605 | 2015-04-29 |
| 1326268731 | Louis Levy Leatherman | Internal Medicine | 618 County Rd. 324, Bertram, TX 78605 | 2007-04-26 |
| 1811058738 | Community Care Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 246 E. Hwy 29, Bertram, TX 78605 | 2006-12-13 |
| 1487673315 | Lanny Michael Stone | Physician Assistant | 160 N Lampasas, Bertram, TX 78605 | 2006-07-19 |
| 1376595611 | Asif S Syed | Internal Medicine | 540 E Hwy 29, Bertram, TX 78605 | 2006-05-16 |
| 1770565822 | Community Care Inc | Intermediate Care Facility, Mentally Retarded | 246 E Hwy 29, Bertram, TX 78605 | 2005-11-15 |
| 1346856937 | Piper Lindsley Clark | Speech-Language Pathologist | 540 E Hwy 29, Bertram, TX 78605 | 2020-09-18 |
| Find all providers in zip 78605 | ||||
| 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 |
|---|---|---|---|---|
| 1548758303 | Ber Nursing and Rehabilitation, Lp | Skilled Nursing Facility | 540 E State Highway 29, Bertram, TX 78605-4473 | 2018-04-27 |
| 1982921151 | Elite Ltc Properties of Bertram LLC | Skilled Nursing Facility | 540 E Highway 29, Bertram, TX 78605-4473 | 2010-04-28 |
| 1154921112 | Hamilton County Hospital District | Skilled Nursing Facility | 540 E State Highway 29, Bertram, TX 78605-4473 | 2020-10-29 |
| 1942685383 | Shady Shores of Bertram LLC | Skilled Nursing Facility | 540 E. Highway 29, Bertram, TX 78605-4473 | 2015-07-28 |
| 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 |
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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.