Gardendale Healthcare Residence

LBN: Gardendale Hh Opco Llc
Gardendale Healthcare Residence is an health care organization with primary practice located at 1521 E Rusk St , Jacksonville TX 75766-5505. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Gardendale Hh Opco Llc can be contacted via phone (903) 586-3626, or through Little, Michael via phone (888) 396-3462.

Contact Information

Primary practice address
1521 E Rusk St Jacksonville TX 75766-5505
Phone: (903) 586-3626
Fax: (903) 586-2766
Website:
Map and Directions
Authorized official contact:
Name: Little, Michael
Phone: (888) 396-3462

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1093371064
LBN Legal business name Gardendale Hh Opco Llc
DBA Doing business as Gardendale Healthcare Residence
Authorized official Little, Michael
Entity Organization
Organization subpart 1 No
Enumeration date May 15th, 2019
Last updated Aug 21st, 2019 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093371064 NPPES
Texas Other 004986 STATE FACILITY LICENSE

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