DEKALB HEALTH CARE LLC (NPI# 1992035638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992035638 |
| Entity Type | Organization |
| Organization Name | DEKALB HEALTH CARE LLC |
| Other Organization Name | SUNNY ACRES NURSING & REHAB |
| Practice Address |
12520 Fm 1840 De Kalb TX 75559-1929 |
| Practice Telephone | 9036672572 |
| Practice Fax Number | 9036675589 |
| Mailing Telephone | 9036672572 |
| Mailing Fax Number | 9036675589 |
| Enumeration Date | 2009-12-31 |
| Last Update Date | 2009-12-31 |
| Authorized Official Name | MS. SHARON KAY REDD (REIMBURSEMENT SPECIALISTS) |
| Authorized Official Telephone | 9038819432 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | TX | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 001003424 | 05 | |
| TX | 4553 | 05 |
| Other Name | Type Code |
|---|---|
| SUNNY ACRES NURSING & REHAB | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750448015 | Dekalb Health Care LLC | Skilled Nursing Facility | 12520 Fm 1840, De Kalb, TX 75559-1929 | 2007-01-03 |
| Street Address |
12520 FM 1840 |
| City | DE KALB |
| State | TX |
| Zip Code | 75559-1929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750448015 | Dekalb Health Care LLC | Skilled Nursing Facility | 12520 Fm 1840, De Kalb, TX 75559-1929 | 2007-01-03 |
| 1376094284 | Ponderosa Nursing and Rehabiliation | Skilled Nursing Facility | 12520 Fm 1840, De Kalb, TX 75559-1929 | 2016-10-17 |
| 1487992889 | Nacogdoches County Hospital District | Skilled Nursing Facility | 12520 Fm 1840, De Kalb, TX 75559-1929 | 2013-01-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295138055 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 12522 Fm 1840, De Kalb, TX 75559 | 2014-10-07 |
| 1114079001 | Hubbard Independent School District | Local Education Agency (LEA) | 3347 Hwy 259 South, De Kalb, TX 75559 | 2007-01-18 |
| 1306871561 | Save Mart Pharmacy | Durable Medical Equipment & Medical Supplies | 136 N Centre, Dekalb, TX 75559 | 2006-07-12 |
| 1427052000 | Dekalb Pharmacy LLC | Pharmacy | 120 W Front St, De Kalb, TX 75559-1308 | 2005-06-10 |
| 1063474807 | Janet Tidwell | Pharmacist | 120 W Front St, De Kalb, TX 75559-1308 | 2006-04-05 |
| 1104904044 | David Blair Hodges | Dentist | 109 Oak St, De Kalb, TX 75559-1359 | 2006-11-01 |
| 1669537247 | Christy M. Walls | Pharmacist | 120 W Front St, De Kalb, TX 75559-1371 | 2006-12-26 |
| 1285770180 | John Franklin Cary | Pharmacist | 136 N Centre St, De Kalb, TX 75559-1404 | 2007-01-29 |
| 1902978364 | Total Medical Supply | Durable Medical Equipment & Medical Supplies | 216 N Centre St, De Kalb, TX 75559-1406 | 2006-11-14 |
| 1720416308 | Almer Lee Hadaway Jr. | Nurse Practitioner | 216 N Centre St, De Kalb, TX 75559-1406 | 2013-10-17 |
| Find all providers in zip 75559 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
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| 1467945626 | Regency Ihs of Windsor Mission Oaks LLC | Nursing Facility/Intermediate Care Facility | 3030 S Roosevelt Ave, San Antonio, TX 78214-2337 | 2018-06-12 |
| 1508363086 | Solomon Ishaq | Nursing Facility/Intermediate Care Facility | 1818 Arundel Dr, Carrollton, TX 75007-3012 | 2018-04-10 |
| 1740798651 | Mission Valley Nursing and Transitional Care LLC | Nursing Facility/Intermediate Care Facility | 1200 S Bryan Rd, Mission, TX 78572-6840 | 2018-01-12 |
| 1841738580 | Su Casa Adult Foster Home | Nursing Facility/Intermediate Care Facility | 12462 Paseo De Arco Ct, El Paso, TX 79928-5669 | 2017-02-02 |
| 1225402753 | West Wharton County Hospital District | Nursing Facility/Intermediate Care Facility | 248 Wisteria Ln, El Campo, TX 77437-2545 | 2015-11-20 |
| 1447635040 | Sarah Padlan I | Nursing Facility/Intermediate Care Facility | 3808 Veterans Blvd, Studio 6, Del Rio, TX 78840-2859 | 2015-07-23 |
| 1902289358 | Fnu Anushree | Nursing Facility/Intermediate Care Facility | 328 Bedford Rd Apt 247, Bedford, TX 76022-8032 | 2015-07-02 |
| 1699154278 | Royal Manor Care Center, Inc. | Nursing Facility/Intermediate Care Facility | 4545 S Buckner Blvd, Dallas, TX 75227-4207 | 2015-05-28 |
| Find all providers with the same taxonomy | ||||
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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.