Legacy Living Centers
LBN: Devine Convalescent Care Center Inc
Legacy Living Centers is an health care organization with primary practice located at 104 Enterprise Ave , Devine TX 78016-1807. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty.
Devine Convalescent Care Center Inc can be contacted via phone (830) 663-4451, or through Pita, Janice via phone (580) 622-6300.
Contact Information
Primary practice address
104 Enterprise Ave
Devine TX 78016-1807
Phone: (830) 663-4451
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility | 313M00000X | 112767 | Texas |
Profile Details
| NPI number | 1689660417 |
|---|---|
| LBN Legal business name | Devine Convalescent Care Center Inc |
| DBA Doing business as | Legacy Living Centers |
| Authorized official | Pita, Janice |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 27th, 2005 |
| Last updated | Aug 28th, 2008 - about 18 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689660417 | NPPES |
| Texas | Other | 1767741-01 | TEXAS MEDICAID B |
| Texas | MEDICAID | 001012206 | TEXAS MEDICAID B |
| Texas | Other | HH027S | TEXAS MEDICAID B |
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