Pine Forest Nursing And Rehabilitation Center

LBN: Ssc Beaumont Green Acres Operating Company Llc
Pine Forest Nursing And Rehabilitation Center is an health care organization with primary practice located at 11025 Old Voth Rd , Beaumont TX 77713-8613. 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. Ssc Beaumont Green Acres Operating Company Llc can be contacted via phone (409) 892-9722, or through Simons, Thomas P. via phone (770) 829-5100.

Contact Information

Primary practice address
11025 Old Voth Rd Beaumont TX 77713-8613
Phone: (409) 892-9722
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Simons, Thomas P.
Phone: (770) 829-5100

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 117815 Texas

Profile Details

NPI number 1750402236
LBN Legal business name Ssc Beaumont Green Acres Operating Company Llc
DBA Doing business as Pine Forest Nursing And Rehabilitation Center
Authorized official Simons, Thomas P.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 3rd, 2007
Last updated Sep 23rd, 2013 - about 13 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 1750402236 NPPES
Texas MEDICAID 001013497

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