CONVERSE SENIOR CARE LLC (NPI# 1992124135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992124135 |
| Entity Type | Organization |
| Organization Name | CONVERSE SENIOR CARE LLC |
| Other Organization Name | ROSEWOOD REHABILITATION AND CARE CENTER |
| Practice Address |
7700 Mesquite Pass Converse TX 78109-2461 |
| Mailing Address |
100 Royal Ct Woodway TX 76712-3031 |
| Practice Telephone | 2106500551 |
| Mailing Telephone | 2547415929 |
| Mailing Fax Number | 2547415928 |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2014-04-18 |
| Authorized Official Name | JACK COOK (MEMBER) |
| Authorized Official Telephone | 2547415929 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Rosewood Rehabilitation and Care Center | Doing Business As Name - Organization |
| Street Address |
7700 MESQUITE PASS |
| City | CONVERSE |
| State | TX |
| Zip Code | 78109-2461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083647069 | Ltc Healthcare of Converse, Inc. | Skilled Nursing Facility | 7700 Mesquite Pass, Converse, TX 78109-2461 | 2006-07-10 |
| 1780165928 | Greg Scott Gorham | Physical Therapy Assistant | 7700 Mesquite Pass, Converse, TX 78109-2461 | 2018-08-26 |
| 1043790769 | Angele Iglehart | Occupational Therapy Assistant | 7700 Mesquite Pass, Converse, TX 78109 | 2018-08-21 |
| 1669862876 | Mcculloch County Hospital District | Skilled Nursing Facility | 7700 Mesquite Pass, Converse, TX 78109-2461 | 2015-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417583642 | Jennifer E Blackmon | Nurse Practitioner | 10134 Rush Canyon, Converse, TX 78109 | 2020-03-19 |
| 1962913830 | Yvette Marie Martinez | Nurse Practitioner | 7585 Kitty Hawk Ste 201, Converse, TX 78109 | 2017-10-19 |
| 1184144966 | Norma Irene Ayala | Driver | 7460 Kitty Hawk Rd Site 430, Converse, TX 78109 | 2017-06-22 |
| 1497285753 | Miguel Antonio Solis | Social Worker | 8818 Olmstead Park, Converse, TX 78109 | 2017-06-19 |
| 1417482324 | Converse Dentistry | Dentist | 6643 Binz Engleman Road, 6643 Binz Engleman Road, San Antonio, TX 78109 | 2017-04-28 |
| 1417305806 | Kashi Dental LLC | Clinic/Center | 9163 Fm 78, Suite # 1, Converse, TX 78109 | 2016-05-26 |
| 1427499953 | Hardik A Bhadeshiya | Dentist | 8455 Crestway Road Suite 101, Converse, TX 78109 | 2013-07-12 |
| 1548515075 | Soumava Sen, Dds, P.C. | Dentist | 8455 Crestway Road, Suite 101, Converse, TX 78109 | 2012-07-20 |
| 1427326131 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 8027 Kitty Hawk Rd, Converse, TX 78109 | 2011-12-08 |
| 1891925491 | Thaddeus R Tregeagle | Dentist | 9135 Schaefer Rd, 3, Converse, TX 78109 | 2009-07-17 |
| Find all providers in zip 78109 | ||||
| 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 |
|---|---|---|---|---|
| 1083647069 | Ltc Healthcare of Converse, Inc. | Skilled Nursing Facility | 7700 Mesquite Pass, Converse, TX 78109-2461 | 2006-07-10 |
| 1669862876 | Mcculloch County Hospital District | Skilled Nursing Facility | 7700 Mesquite Pass, Converse, TX 78109-2461 | 2015-01-26 |
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| 1821601691 | Altamira Healthcare LLC | Skilled Nursing Facility | 200 Carla St, Zapata, TX 78076-3114 | 2020-08-31 |
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| 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 | ||||
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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.