Granite Mesa Health Center

LBN: Legend Oaks - Granite Mesa, Llc
Granite Mesa Health Center is an health care organization with primary practice located at 1401 Max Copeland Dr , Marble Falls TX 78654-4665. 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. Legend Oaks - Granite Mesa, Llc can be contacted via phone (830) 693-0022, or through Tomerlin, Thomas Martin via phone (210) 564-0100.

Contact Information

Primary practice address
1401 Max Copeland Dr Marble Falls TX 78654-4665
Phone: (830) 693-0022
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tomerlin, Thomas Martin
Phone: (210) 564-0100

Health care specialties

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

Profile Details

NPI number 1750719068
LBN Legal business name Legend Oaks - Granite Mesa, Llc
DBA Doing business as Granite Mesa Health Center
Authorized official Tomerlin, Thomas Martin
Entity Organization
Organization subpart 1 No
Enumeration date Oct 23rd, 2013
Last updated Mar 25th, 2015 - about 11 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 1750719068 NPPES
Texas MEDICAID 001025552

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