Park Place Nursing & Rehab

LBN: Park Place Tyler Healthcare, Llc
Park Place Nursing & Rehab is an health care organization with primary practice located at 2450 E 5Th St , Tyler TX 75701-3525. 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. Park Place Tyler Healthcare, Llc can be contacted via phone (903) 592-6745, or through Redd, Sharon Kay via phone (903) 881-9432.

Contact Information

Primary practice address
2450 E 5Th St Tyler TX 75701-3525
Phone: (903) 592-6745
Fax: (903) 592-1088
Website:
Map and Directions
Authorized official contact:
Name: Redd, Sharon Kay
Phone: (903) 881-9432

Health care specialties

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

Profile Details

NPI number 1629135975
LBN Legal business name Park Place Tyler Healthcare, Llc
DBA Doing business as Park Place Nursing & Rehab
Authorized official Redd, Sharon Kay
Entity Organization
Organization subpart 1 No
Enumeration date Jan 3rd, 2007
Last updated Feb 7th, 2012 - about 14 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 1629135975 NPPES
Texas MEDICAID 001012142
Texas MEDICAID 5390

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