<Unavail>

LBN: Lubbock Iii Enterprises, Llc
<Unavail> is an health care organization with primary practice located at 4120 22Nd Pl , Lubbock TX 79410-1122. 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. Lubbock Iii Enterprises, Llc can be contacted via phone (806) 793-3252, or through Blake, Gary via phone (817) 348-8959.

Contact Information

Primary practice address
4120 22Nd Pl Lubbock TX 79410-1122
Phone: (806) 793-3252
Fax: (806) 791-5364
Website:
Map and Directions
Authorized official contact:
Name: Blake, Gary
Phone: (817) 348-8959

Health care specialties

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

Profile Details

NPI number 1366863482
LBN Legal business name Lubbock Iii Enterprises, Llc
DBA Doing business as <Unavail>
Authorized official Blake, Gary
Entity Organization
Organization subpart 1 No
Enumeration date Dec 16th, 2013
Last updated Aug 30th, 2021 - about 5 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 1366863482 NPPES
Texas Other 005138 DADS FACILITY ID
Texas MEDICAID 001025706 DADS FACILITY ID

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